GIRS has been working with a top insurance company since 2010 on behalf of our client to establish positive coverage[…]
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2014 Payer Advocacy Success Case 3
The GIRS Payer Advocacy Compass (PAC)™ Team worked with a state Medicaid program to advocate for the Medicaid coverage[…]
Read more2014 Payer Advocacy Success Case 2
GIRS was requested to investigate a denied Benefit Verification (BV) for a certain Biologic and then to develop Medicaid[…]
Read more2014 Payer Advocacy Success Case 1
One of our clients has contracted with us to coordinate the benefit verification services of the hotline with Payer[…]
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GIRS is a Sponsor at the PharmAccess Leaders Forum in Paris, France
Important Announcement, Global Integrated Reimbursement Services, Inc. is a proud sponsor for the upcoming NextLevel Pharma’s PharmAccess Leaders Forum in[…]
Read moreAs HHS Moves To End Overload Of Medicare Claims Appeals, Beneficiaries Will Get Top Priority
The Office of Medicare Hearings and Appeals (OMHA) has had a backlog of more than 357,000 claims. Medicare beneficiaries who[…]
Read moreBreaking News – Release of Important CMS 2014 Coding and Payment Regulation
The Centers for Medicare and Medicaid Services (CMS) released the CY2014 Hospital Outpatient Prospective Payment – Final Rule on Wednesday[…]
Read moreJurisdictions E and L A/B MAC awards and transitions are under way…
The U.S. Government Accountability Office (GAO) denied the two protests that had been pending against the Jurisdiction E A/B MAC[…]
Read moreProposed Medicare Part B Cuts Draw Stakeholder Concern
The White House’s fiscal year (FY) 2014 budget proposal includes a variety of what it is calling “manageable” changes for[…]
Read moreHealth Insurance Exchanges: Product Coverage Issues
As states establish health insurance exchanges, insurers are making benefit design and formulary decisions that will impact product coverage. Pharmaceutical,[…]
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