Coding Analysis, Strategy, and Coding Applications

Xcenda helps pharmaceutical, biotechnology, and medical device manufacturers navigate and implement coding strategies to support appropriate coding and reimbursement of drugs, biologicals, and devices. Our team of Certified Professional Coders (CPCs) help clients with coding issues ranging from applying for a unique HCPCS, ICD-9-CM diagnosis or procedure code, pass-through status, or new technology add-on payments, to assisting with coding verifications submitted to the PDAC. We also assist with coding-related issues with third-party payers for products experiencing claims processing issues.

Related reimbursement strategy consulting areas:

• Health policy analysis
• Reimbursement launch strategies and tactical plans
• Coding analysis, strategy, and coding applications
• Payer mix and payer segmentation analysis
• Payer policy research and analysis
• Managed care strategies
• Compendia strategy, surveillance, and submission
• Provider reimbursement analytics
• Provider coding and tools
• Part D formulary analysis
• Patient TrOOP cost modeling
• Regimen payment analysis and modeling
• Patient Assistance Program analysis and exposure modeling
• Distribution analysis and distribution strategy
• Medicare Administrative Contractor (MAC) and Recovery Audit Contractor (RAC) strategy, tracking tools, and action plans