Alzheimer’s Diagnostic and Drug
Provided a coverage roadmap for a drug manufacturer developing a new disease-modifying therapy for Alzheimer’s.
Provided a coverage roadmap for a drug manufacturer developing a new disease-modifying therapy for Alzheimer’s. Supported efforts to understand the role of diagnostic coding, coverage, and payment, including national non-coverage for PET imaging and set strategy for Medicare and commercial payer engagement for treatment coverage and access in the U.S. Identified key payer influencers, including the MAC Contractor Advisory Committee (CAC) members.
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Remote Therapeutic Monitoring
ADVI worked with the client and the AMA’s Digital Medicine Payment Advisory Committee to develop new CPT codes for remote therapeutic monitoring.
Cardiovascular Technologies
Reviewed primary clinical study literature and, based on published Medicare precedents and processes, produced mock National Coverage Determinations on several invasive cardiovascular technologies, applying typical CMS standards and formats.
Lumbar Spine Stenosis Device
ADVI worked with the client and CMS to reverse a negative draft NCD and obtained a final NCD with CED that required a randomized clinical study.
Non-Opioid Device Pain Relief Product
Assessed the positioning of a client's non-opioid pain relief device versus competitive products, including drugs and other devices used to treat pain.
AI Device for Osteoporosis Assessment
ADVI helped a client obtain a new Category I CPT code for the trabecular bone score AI software device.
Osseochondral Knee Implant
ADVI analyzed the reimbursement environment for a novel osseochondral implant under development to determine whether existing codes and payment would be sufficient for the new device.
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