Medical Device Reimbursement – The Right Questions to Ask!
Date: April 12, 2019
Duration: 60 Minutes
Time: 12 PM EST
The Pink Sheet quoted, “Reimbursement risks are probably as important these days as regulatory (risks). Reimbursement is part of the economic equation as investors ask whether insurers will pay and what, if any authorized reimbursement codes are available for the product.” What is a medical device without reimbursement?
The most important objective before engaging in commercialization activities for your product is to know how the customers would review it after its launch.
Some of the key questions to ask are:
- Are there insurer policies that will impede or endorse your product in the marketplace?
- Is there apt clinical peer-reviewed literature that affirms the effective use of your product in the marketplace?
- If covered, is reimbursement adequate to justify widespread deployment of the product?
- Is there coding for your device technology? Are there existing APC, CPT, ICD-10-CM and HCPCS codes that give a detailed account of the device and/or the procedure? Or will a new code be needed?
- You will have a better understanding and will successfully be able to answer the questions asked by Doctors, Hospitals, Sales and Insurers.
- In this overview, you will learn about the basics of coverage, coding and reimbursement.
- As a manufacturer, you will understand more about the antecedent planning that goes into coverage, coding and payment choices for your product. (It does not begin with FDA approval.)
- You will be able to navigate more efficiently, the various aspects of reimbursement planning for a newly-approved, innovative and modestly established product, that may have no coverage, code, or minimal or no payment.
This webinar will provide valuable assistance to:
- People in charge of product development and commercialization
- People currently seeking coverage, coding and reimbursement
- CEO, CFO, CMO, VP RA/QA, Marketing/Sales
- Clinical and Medical Affairs
- Marketing, Sales and Product Management
- Market Access
Speaker: Mukesh Kumar
PhD, RAC | CEO, FDAMap

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