Hospital Buyer & Reimbursement

Reimbursement31

• 340B Drug Pricing Program(340B)
• ASC Site-of-Service Shift
• Bundled Payment
• Category III CPT Code
• Category III CPT Codes
• Coverage with Evidence Development(CED)
• Coverage with Evidence Development(CED)
• CPT Codes(CPT)
• Current Procedural Terminology Codes(CPT)
• HCPCS Codes(HCPCS)
• Health Technology Assessment(HTA)
• ICD-10-CM / ICD-10-PCS
• Incremental Cost-Effectiveness Ratio(ICER)
• Inpatient Prospective Payment System(IPPS)
• Joint Clinical Assessment(JCA)
• LCD and NCD
• Medicare Physician Fee Schedule(MPFS)
• MS-DRG(MS-DRG)
• National and Local Coverage Determinations(NCD / LCD)
• New Technology Add-On Payment(NTAP)
• Outpatient Prospective Payment System(OPPS)
• Prior Authorization
• Protecting Access to Medicare Act(PAMA)
• Quality-Adjusted Life Year(QALY)
• Recovery Audit Contractor(RAC)
• RWE for Reimbursement
• Transitional Coverage for Emerging Technologies(TCET)
• Transitional Coverage for Emerging Technologies(TCET)
• Transitional Pass-Through Payment(TPT)
• Value Analysis Committee(VAC)
• Value-Based Care(VBC)

Commercialization23

• AdvaMed Code of Ethics
• Advisory Board
• Anti-Kickback Statute(AKS)
• Bottom-Up Market Sizing
• Distributor vs Direct Sales
• Field Clinical Engineer(FCE)
• Freedom to Operate(FTO)
• Good Clinical Practice(GCP)
• Group Purchasing Organization(GPO)
• Integrated Delivery Network(IDN)
• Key Opinion Leader(KOL)
• Label Claims
• Launch Readiness
• Managed Service / Reagent Rental
• Off-Label Use
• Physician Payments Sunshine Act
• Physician Training and Proctoring
• Pre-Submission Meeting(Q-Sub)
• Razor / Razor-Blade Model
• Stark Law
• Strategic Acquisition
• TAM / SAM / SOM
• Value Analysis Committee(VAC)

Industry Bodies1

• Industry Trade Organizations

Other ecosystems