Medical Policy Tracking & Analytics
Policy reporter is the one -stop-shop for all policy related records, whether that’s current policies in effect, historical archives of past policies, or fee schedule information.
With the PolicyCore Subscription, you can become an expert on how Payers treat and reimburse your device, test or therapy in no time.
Policy Email Alerts
Receive instant notifications to medical and pharmaceutical policy changes across the Payer landscape, tailored specifically to your therapies and topics of interest. Policy Reporter’s Live Policy Updates ensures you are notified of any changes that could affect your business in real-time, allowing you to act and react quickly. Powered by a patented software called Bumblebee, we have automated the nearly impossible task of keeping on top of every coverage, criteria and policy change.
Receive real-time notifications customized by:
- Device, test, code or topic
- Payer
- Plan
- State
- Daily or weekly digests
- Alerts as they happen
Current & Historical Policy Database:
A Complete Policy Repository
Policy Reporter’s PolicyCore database pulls from over 850,000 policies to provide you access to the most expansive Payer policy database available. Our database stores current and historical Payer policy information from almost all Payers and plans and allows you to search and filter these polices down to the most granular level available. Our database enables you to:
- Search for policies by therapy, Payer, state, plan type, and more through an easy-to-use interface.
- See when a policy was last updated
- Access a link direct to that specific policy itself
- View draft policies, CAC, Coding panel meeting calendar
- Access historical versions of policies not accessible anywhere else
Advanced Policy Search
Access the most powerful Payer policy database on the market with the PolicyCore Advanced Search. Our universal search function allows you to search down to the most granular level within the industry’s largest payer database to find the precise medical policy, form, coding guidelines, billing guideline, provider manual, prior authorization form or other documents you are looking for. Search by keyword, code, topic, Payer, plan type, state and more. Policy Reporter allows you to keep on top of the latest criteria documents with real-time access.
Inform your market access strategies like never before by having current and historical policy information at your fingertips.
Enhance your market access with our comprehensive Payer Data services. When it comes to Payer insights, we have the statistics and information you need to give your organization the edge.
Book a DemoOur Fee Schedule tool simplifies the search for reimbursement requests and coverage by providing you access to a simple search supporting HCPCS or CPT codes.
Medicare and Medicaid fee schedules can be extremely difficult to find and navigate, with thousands of medical codes in each file. Finding a Payers reimbursement rate for a given code can be a time-consuming ordeal. The Fee Schedule Dashboard provides an easy-to-use, intuitive and standardized way to access all Medicaid and Medicare fee schedules in one place.
Simply search by:
- Medical code and
- Payer(s)
And that’s it! With just those 2 pieces of data, we’ll give you a host of valuable information including:
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- The reimbursement rate
- The facility vs. non-facility cost
- Max. or min. Age restrictions
- Any modifier codes
Visualizations
Reimbursement rates can vary based on a number of various criteria, so we provide a graph visualization that indicates at-a-glance the minimum, median and maximum rates and the number of rates at that level.
to help you ensure you are achieving the broadest possible coverage for your therapy, medical device or drug.
Book a DemoThe Coverage Viewer is a powerful, user-friendly search interface to learn about your device, test or therapy’s coverage criteria across almost all Payers in the U.S.
Utilizing Policy Reporter’s proprietary Payer policy tracking software, Coverage Viewer provides in-depth breakdowns of how Payers are covering your drug, in what states, and under what plan types. An invaluable tool for keeping abreast of the ever-changing Payer policy landscape.
The Coverage Viewer is a great tool to support your Sales & Market Access teams quickly analyze coverage of your drug, and inform providers of coverage plans. The tool also provides a downloadable summary of benefits and physician leave-behind which can be fully customized to support your branding.
Ask our sales team for a demo today.
Book a demoUnderstanding how Payers are covering your device or test, who makes these decisions, and when they do so, is at the heart of an effective market access strategy, and that’s exactly what our Payer Data services can tell you.
Payer Contact Directory:
Access an interactive, proprietary directory of critical employees from each Payer which includes medical and pharmacy directors, submission reviewers, provider relations, policy specialists and more. This directory is continually updated and provides each contact’s preferred method of contact, including
- Company address (HQ)
- Phone number
- Email address
With access to the relevant decision-makers at your fingertips, you can ensure your products receive the maximum coverage in all current and future policy decisions.
Payer Meeting Calendar
Leverage our dynamic Calendar tool to sort, view, anticipate and act on important coverage meetings, including:
- Advisory Committee meetings
- Policy Review Meetings
- Pharmacy & Therapeutics meetings
- Draft National & Local Coverage Determinations
- Coding and Lab meetings
Our calendar tool was designed to function identically to other popular calendar software, ensuring easy adoption into your company’s workflow, and enabling you to keep on top of any future meetings that may affect your products.
Our tools can enhance and optimize your market access strategy to help you ensure you are achieving the broadest possible coverage for your therapy, medical device or drug.
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