


Pivotal Reimbursement
Pivotal Reimbursement
Medical Devices | Biologics | Diagnostics | Clinical Trials

Michael A. Sanchez, M.A., CCA
Founder and Principal Advisor
Mike is an experienced reimbursement consultant who specializes in providing strategic assessment and planning and tactical support to medical device clients across all payer and provider types. With over 20 years of experience working for medical device companies, he is knowledgeable in supporting cardiac, peripheral vascular, neuromodulation, orthopedic and various other FDA Class II/III medical device technologies. Additional expertise includes helping medical device companies navigate Medicare’s complex requirements for appropriate coverage, coding and payment in Category A/B Investigational Device Exemption (IDE) studies to help ensure timely enrollments in industry-sponsored clinical trials. Mike is also a veteran of the U.S. Air Force, holds a Master’s degree from the College of St. Scholastica, and is a Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA).
Pivotal Reimbursement
Consulting
Office Location
Saint Paul, MN
Useful Links
AdvaMed
FDA/HCFA Interagency Agreement (1995)
FDA FAQs IDE Reimbursement
FDA Info - Charging for Investigational Products
Health Plan Policy Search
LifeScience Alley
MedPac Payment Basics
Medical Device Manufacturers Assoc
TRICARE Fee Schedule Search
Medicare Shortcuts
Accountable Care Organizations (ACO)
Clinical Laboratory Fee Schedule (CLAB)
CMS Central IDE Coverage & Review
Clinical Trial Policy NCD
Competitive Bidding Program
Coverage Center
DMEPOS Fee Schedule Search
Innovator's Guide
Medicare Learning Network (MLN)
Physician Fee Schedule (PFS) Search
Memberships
Copyright Pivotal Reimbursement Consulting 2017
Copyright Pivotal Reimbursement Consulting 2017