This regionally based team of 25 helps to reduce or eliminate economic barriers by:

• providing physician and facility customers with reimbursement analysis and coding education.
• helping obtain and maintain coverage policies and appropriate payment for products and therapies by serving as a local liaison to payers.
• educating case managers and other key payer decision-makers and influencers.
• completing trend analyses.

• View additional Pain Therapies Coverage and Authorization Details

For all Pain-Related Prior Authorization Requests, our state of the art service:

• provides the services needed to assist physician offices and facilities in securing positive coverage and authorization decisions for Medtronic Therapies. From the work that is required by the payers, to the additional work that our customers may request, we are here to help.
• offers cutting-edge online services for web-based real time case status viewing, and the ability for you and your staff to submit online prior authorization requests.
• helping to manage the appeals process for services that have been denied.

• View additional Non-Pain Therapies Coverage and Authorization Details

Our regionally aligned staff is responsible for:

• providing the services needed to assist physician offices and facilities in securing positive coverage and authorization decisions for Medtronic Therapies. From the work that is required by the payers, to the additional work that our customers may request, we are here to help.
• offering best-practices training to offices that prefer to complete their own prior authorizations.
• helping to manage the appeals process for services that have been denied.

In this area, we provide assistance in preparing evidence-based materials for:

• furthering or maintaining state-based coverage guidelines or policies.
• furthering or maintaining private payer coverage policies.
• providing the necessary evidence-based documentation in support of case-by-case prior authorization for individual patients in need

This team is charged with:

• developing strategies to secure and maintain coverage, coding, and payment for emerging and existing therapies.
• ongoing evaluation and monitoring of national and large local payers.
• shaping policies and driving evidence-development activities that support coverage and payment.
• informing and educating physician societies and patient-advocacy groups on Neuromodulation therapies.

The primary responsibilities of this group include:

• improving Workers’ Compensation and Medicaid coverage and adequate facility and professional reimbursement.
• lobbying for Medtronic Neuromodulation therapies at the state and local level.
• advocating for Non-Medicare government-related coverage policies, treatment guidelines, and fee schedules.
• promoting appropriate access to Medtronic Neuromodulation Therapies through the “It’s Up to Us” collaborative advocacy program. Join 5500 other members at www.preservingtherapyaccess.com or call (800) 468-9749 today!