Capabilities
You have developed lifesaving technology. Patients should benefit. We use our decades of leadership experience in market access to assist medical device, biotechnology, and pharmaceutical companies obtain reimbursement from payers.
List of HcFocus Services
HcFocus is a leading boutique firm with deep connections to payors, including decades of experience obtaining reimbursement and helping high-impact companies achieve success in the U.S. market. HcFocus offers innovative, comprehensive consultancy services to companies including medical device, biotech and pharma, seamlessly integrating reimbursement, regulatory and medical affairs teams to achieve clients’ financial goals.
From strategy to hands-on execution, our team of experts in multi-specialty healthcare management & revenue cycle understand that revenue generation is mission-critical.
Departmental Expertise
- Billing & Reimbursement
- Denial Management
- Revenue Cycle
- Market Access
- Contract & Credentialing
- Field Reimbursement
- Project Management
- Case Management
Frontend & Backend Operations
- Benefits Investigation
- Prior Authorization
- Billing & Coding
- Accounts Receivable
- Cash Applications
- Customer Service
Specialty Categories
- Multi-Specialty
- Device & Pharmaceutical
- Biotech
- AI (Artificial Intelligence)
- Buy and Bill
- Specialty Pharmacy
- Medical & Pharmacy pathways
Execution
- Development of SOP(s)
- Development of monthly department financial analysis
- Development of monthly physician financials, metrics, and trends
- Develop organizational ROI mode (Return on Investment)
- Development of Physician & Patient facing marketing resources
- Onboarding & Implementation of new accounts and products
- New product/drug/device launches
- CMS & MAC payment systems OPPS/PFS
- CMS & MAC policies LCD/NCD
- Payor & Clinical Strategy
- Management of Hub services for pre and post claims
Additional Expertise
Clinical Development- Support optimization of clinical trials aligned with market access strategies
- Provide guidance as needed for investigator-sponsored studies
- Assistance with publications review and strategies
- Access to our ‘in-house’ digital media division, with opportunities for social media and direct marketing campaigns to physicians
- Develop effective strategies for providing scientific and medical information about your products
- Contribute to enhanced educational materials for physicians
- Strengthen relationships with healthcare professionals and key opinion leaders
- Provide expert advice on gathering valuable insights and feedback from the medical community
- Develop engagement strategies for KOLs and clinicians
- Obtain the insights you need, directly from relevant physicians, via our market research program
- Review designated project’s goals and FDA compliance requirements
- Analyze and interpret FDA regulations and guidance documents relevant to the project
- Assess risks that may be associated with any audits or assessments to identify and address potential compliance issues
- Assist with preparation of FDA submissions or compliance documentation