Michael Beebe
Executive Vice President
Michael Beebe
Executive Vice President
Our clients are innovative. They drive change through new clinical pathways or interventions. We help them obtain codes, secure reimbursement, and gain or enhance coverage.”
We bring a multidisciplinary, data-enabled, current and future landscape-driven approach to coverage and payment, including coding and pricing of products and services.
By executing integrated access and reimbursement policy planning with client advocacy and allied development, we help clients advance, adapt, mitigate risk, or seek new opportunities.
Coding is a fundamental language of medicine that changes endlessly. Maximizing access requires expertise in the complex interaction of precedent, process, politics, and policy and the ability to develop the right value story for Medicare, Medicaid, and private payers, who need a compelling story of how you deliver value to patients. Our work may include direct engagement with the FDA, CMS, and other payers or assistance improving clinical outcomes to demonstrate evidence of utility.
We provide a thorough scan of the current and expected coverage and reimbursement landscape. From commercial to Medicare and Medicaid payer types, we incorporate the knowledge of how each defines a compelling value proposition into the language and currency of the particular payer.
ADVI’s consultants have written and reviewed hundreds of code applications. We advise on when to apply for a new or revised code, what the RUC or CMS may value the code at, how to navigate the NTAP and DRG processes, and when a new ICD-10 code is warranted, while helping successfully navigate the complex application and CMS and AMA advocacy processes.
Our team has near 50 years of combined experience working directly for or with CMS, HHS, or state government. We will engage with CMS and HHS as needed on your behalf to articulate your proposal, often on the value of your product or service, and help ensure beneficiary access and appropriate reimbursement to your innovative treatments.
Get in touch with our solution leader
Executive Vice President