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Welcome to The Reimbursement Group  (TRG)
Experienced Proven Professionals
No two products or companies are the same. The Reimbursement Group (TRG) works with your team to develop recommendations that best serve your specific needs. Our services are 'a la carte'—so you can decide to what extent to outsource your Reimbursement deliverables.

CASE MANAGEMENT SUPPORT
TRG’s Case Management support services are the primary touch point between many medical device manufacturers and their prescribing physician customers. For that reason alone, it is the perfect venue for a host of opportunities – most importantly, improved efficiency and increased customer loyalty and satisfaction. Our credentialed Nurse Case Managers are experienced in responding to incoming requests for billing and appeal assistance. Our Case Management services include:

  • Pre-Certification, Prior Authorization, and Pre-Determination Services
  • Availability 24/7
  • Collaboration with our Certified Medical Coders for coding clarification and inquiries

TRG professionally delivers on Reimbursement needs to your customers. First time. Every time.

STRATEGIC REIMBURSEMENT
PLANNING SERVICES
TRG provides Reimbursement Consulting services to evaluate your company’s New Technology product position in the market. We can assist during the pre-clinical trial phase, post-FDA approval phase, or at any point in between. Let us help maximize your Reimbursement position in order to ensure patient access to your new product. Services that we offer include:

  • Coverage, Coding, and Payment Reimbursement Assessments
  • Submission of New Coding Applications
  • Product and Service Pricing Analysis
  • Evaluation and Recommendation of Payor Coverage Strategies
  • Product Launch Support

CLINICAL SERVICES:
HEALTH ECONOMICS DATA COLLECTION
TRG provides clinical services to ensure that the key Reimbursement elements are included in the Health Economics Data Collection process within the Clinical Study. Additional services include:

  • Development of Health Economics and Quality of Life Studies Supporting Market Development and Reimbursement
  • Collection and Analysis of Relevant Cost and Reimbursement Variables during Clinical Trials
  • Establishment of Work Comparables and Value Assessments
PAYOR POLICY DEVELOPMENT
Whether looking to outsource your Health Policy efforts or if you are preparing a presentation for a New Technology Committee meeting, TRG has the team and support services to meet your needs. Our services include:

  • New Technology Assessment Committee and Professional Society Educational Support
  • Commercial Policy Development
  • CMS Local and National Coverage Decision (LCD & NCD) Process Support
  • Managed Care Contracting
  • Prospective Payor Analysis and Opinions

FIELD SERVICES MANAGEMENT
TRG can supplement your Field Reimbursement efforts with our expertise and know-how. By partnering your company’s Reimbursement, Clinical, and/or Sales Teams with TRG’s Field Team, we can help demonstrate product value and obtain appropriate reimbursement. Our services include:

  • Coding and Chart Analysis for New and Existing Products
  • Audit and Claim Reviews (Hospital, Physician, and Clinical Trial Sites)
  • Charge Description Master (CDM) Strategic Planning
  • Development of Reimbursement Guidance Documents (Hospital Inpatient, Outpatient, and Physician Settings)
  • Work with Key Accounts to Provide Reimbursement Support
  • Sales Staff Training and Support Services during Product Launch
  • Surgeon Training Events/Product Training Events
  • Analysis for Investment Funding/Presentation Services
  • Individually Designed Plans based upon Product and Company Needs.
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