Merlino Healthcare Consulting provides services across a wide range of disciplines:

Medical Societies

• AMA CPT & RUC process – we provide expert assistance in submitting code applications, conducting and analyzing the AMA RUC survey process and following the most current policies

• Reimbursement Policy Research, Monitoring and Content Development – we monitor important reimbursement web sites, provide guidance to foster and maintain reimbursement relationships, and develop materials/provide analysis to support submission of code applications.   We staff and prepare presenters for various professional medical societies and organizations, and we monitor/review payment policies & reimbursement activities with written summaries and data analysis

Healthcare Manufacturers

• Payer Advocacy and Education Products – we provide guidance and assistance to foster, enhance and maintain reimbursement relationships with important government agencies. and at times, private payers.  We assist with communication to Medicare and other important payers, including development, content and planning for your new product’s introduction letters.   We do so by providing supporting reimbursement documentation to ensure that payers know your products when they are introduced

 Healthcare Professionals

• Billing Claim Reviews – Our services in this area extend throughout the complete claims process. We focus on coding practices—past, current and planning for future changes

• Set-up and/or Review of Charge Description Masters (CDM) – we provide the most up-to-date code and payment information as we identify the procedures performed at your facility and review your CDM for the proper elements.  We will complete a summary report/bill audit form with an analysis of our findings.