Reimbursement / Market Access

Our consulting services on reimbursement issue for
pharmaceutical or medical products

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Reimbursement / Market Access

From product to reimbursement


Decision makers at hospitals expect increasingly sophisticated concepts for representing refinancing of pharmaceutical products and medical devices as one of the manufacturer's obligations to deliver in the framework of the G-DRG system. This also applies increasingly to the health sectors in Switzerland and Austria. Companies possessing this competence secure a decisive competitive advantage for themselves.

Are you responsible for successful marketing of a medical device or pharmaceutical preparation? Do you see potential in the refinancing of your product? Would you like more clarity about the complex relationships in the German invoicing system, and do you seek expertise in the strategic positioning of your product?

In a results-oriented manner, we guide you through the reimbursement maze. Based on our many years of experience with the G-DRG system, we support you competently in all aspects of health economics concerning your product.

Analysis of reimbursement

Do you desire specific information indicating whether your product / process covers costs in the current G-DRG system? Clinicians, controllers and purchasers require valid statements about application refinancing from you. We create analyses of your product's representation in the classification systems for diagnoses (ICD-10) and medical procedures (OPS), as well as in the G-DRG system, naturally also taking into account the situation of the market and competition. We identify realistic representation potentials and, jointly with you, develop viable strategies of optimizing reimbursement. We offer you continuous monitoring of reimbursement for annual amendments.

Documentation and coding aids

Do you want to ensure complete as well as correct documentation and application coding for your product / process? Do you want to provide users with this necessary information in a clear, readily available and comprehensible way? Only complete documentation of your product's application and subsequent, correct coding lead to proper reimbursement.

We know the various challenges of everyday clinical practice, controlling and purchasing from our own experience, and conceive individual, practical and user-friendly coding aids for your needs as well as those of your customers. Only in this way can you ensure complete and correct coding of your products, and create a basis of calculations for future G-DRG system adjustments.

Request submission

Do you lack a representation of your product in terms of specific diagnoses and/or OPS procedures? Does your product / process lack proper refinancing of related costs in the G-DRG system? We assist you so that your product / process becomes visible. We support you in all special request procedures for classification systems for diagnoses (ICD-10-GM), medical procedures (OPS), innovations (NUB) and adaptations to the G-DRG system structure. With our many years of experience, we provide you with targeted assistance in these complex processes.

Innovation financing / new examination and treatment procedures [NUB]

Are you responsible for introducing an innovative medical device or a pharmaceutical preparation? Do you want a single source to provide you here with sound advice on health economics? You will receive this assistance from us, and benefit from our many years of experience. Market launches of innovative products or processes, in particular, must be supported by timely considerations related to health economics in order to prevent delays caused by lack of financing for the product / process.

Due to increasing cost pressures on service providers, market acceptance is only realistic if prerequisites for additional refinancing, e.g. as new examination and treatment methods (NUB) are fulfilled. Needless to say, we support you here, in particular, also in meeting new content-specific and structural challenges posed by §137 h of the German social code - volume 5.

Training & coaching

Are you responsible for successful marketing of a medical device or pharmaceutical preparation? Does your inter-professional team require a consistent knowledge of the reimbursement situation for their product, and a basic understanding of the workings of the German health-care system? Do you want your employees to feel secure and be capable of good argumentation in this highly complex environment? Our highly individualized training and coaching events help you and your team provide your customers with information which is current and meaningful, as well as dependable in terms of content, with regard to documentation, coding and invoicing of your product.

For you, we develop and create seminar content of relevance to informing your different target groups: Up-to-date, compliant with German coding guidelines, complete, easily understandable, clear and, of course, prepared for multimedia presentations.

 

Franz und Wenke - Beratung im Gesundheitswesen GbR

Technologiehof, Mendelstraße 11
48149 Münster

Kontaktinformationen

 

Tel.: +49 251 - 149 824 10
Fax: +49 251 - 149 824 13

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