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Mediclever Articles

Download our most recent articles:

  • General Topics
    - Reimbursement Checklist (Download, PPS 2.1MB)
    - All About DRGs (Download, pdf 694KB)
    - Reimbursement by Distributors (Download, pdf 66KB)

  • USA
    Pharmaceuticals
    - Obtaining Reimbursement for a New Drug (Download, pdf 943KB)
    Devices
    - A Rapid Path to US Reimbursement - Part C: Unlisted Codes (Download, pdf 846KB)
    - A Rapid Path to US Reimbursement - Part B: New Tech APCs (Download, pdf 858KB)
    - Outpatient Reimbursement in The US - A General Plan (Download, pdf 1.1MB)
    - A Rapid Path to US Reimbursement - Part A: Prior Authorization (Download, pdf 464KB)

  • Germany
    - Alternative Reimbursement Mechanisms in Germany (Download, pdf 266KB)


    Medical Societies

    Search for the relevant Medical Society for your product:

  • USA
  • Germany
  • France

    Coding & Coverage

    Links to relevant reimbursement information and forms:

  • USA
    - Quality Measures Reported to CMS (Click here, pdf 17KB)
    - HCPCS Level I (CPT-4) codes:
    o Search for existing HCPCS Level I (CPT-4) codes at the AMA website (Link)
    o Apply for a new HCPCS Level I (CPT-4) code (Link)

    - HCPCS Level II codes:
    o Search for existing HCPCS Level II codes at the CMS website (Link)
    o Apply for a new HCPCS Level II code (Link)

    - Coverage:
    o Search for existing national or local coverage decisions (NCD/LCD) at the CMS website (Link)
    o Instructions for applying for a new national coverage decision (NCD) (Link)

  • Germany
    - OPS codes:
    o Search for existing OPS codes at the DIMDI website (Link)
    o Apply for a new 2010 OPS code (Link)

    - EBM codes:
    o Search for existing EBM codes at the KBV website (Link)

    - GOA codes:
    o Search for existing GOA codes (Link)

  • France
    - CCAM codes:
    o Search for existing CCAM codes at the CNAMTS website (Link)












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