PRIA's robust service offerings support a patient’s access to innovative medical devices from concept through commercialization, ensuring a stable pathway that enhances utilization, demonstrates market demand, and drives payer adoption.

Strategic Reimbursment Services

  • Reimbursement landscape assessment
  • Coding strategy and support
  • Coverage strategy and support
  • Payment strategy and support

Clinical Trial Reimbursement Services

  • Protocol review to ensure economic endpoints
  • Submission of Medicare clinical trial coverage request
  • Clinical trial coverage and payment support for Medicare and Commercial payers
  • Collection of economic and utilization data to support duture coding and payment strategies

Patient Access
Services

  • Electronic and manual benefits verification
  • Prior authorizations
  • Pre-service appeals
  • Procedural and payer data collection
  • Centralized platform and service to support patient access

Reimbursement Hotline Services

  • Dedicated reimbursement resource to internal and external stakeholders
  • Provide consistent and compliant reimbursement support to incoming customer inquiries
  • Distribute reimbursement guidance relative to current coding, coverage and payment for device

Payer
Engagement

  • Policy monitoring services
  • Targeted payer outreach to establish coverage
  • KOL - Payer presentations
  • Value briefs and evidence dossier development
  • Medical director services

We’re leading the charge to accelerate the adoption of innovative healthcare technologies