Nimitt Consulting specializes in providing healthcare organizations with information and education on regulatory initiatives and policies that impact their service delivery, cost, accessibility, and quality. Our clients include healthcare systems; individual hospitals; ambulatory surgery centers; physicians groups; advocacy and community-based organizations; state, local, and national government; consultant agencies; drug and device manufacturers; and law firms, trade associations and other organizations.

Nimitt Consulting works both domestically and internationally, and offers services in the following key primary areas:

APCs/OPPS - We help large healthcare systems and individual hospitals thrive under the Outpatient Prospective Payment System. This system has, and will continue to have, enormous financial, clinical, operational, and strategic impact on healthcare providers. Nimitt Consulting creates and implements strategies that help providers maximize their efficiency and reimbursement under this system.

Nimitt Consulting's team of consultants work with organizations to identify clinical, financial, operational, and strategic issues that may be of concern for future compliance risks as well as current revenue opportunities. Strategic alliances with other firms bring expertise in coding, chargemaster reviews, compliance audits, and software support to our clients.

International Programs - We assist international governments through the complicated process of implementing healthcare reform, including supporting their efforts to communicate with key stakeholders as they make changes to their clinical and financial delivery models.

Healthcare Advocacy - We help non-profit and community-based organizations (CBOs) expand their abilities to meet clients' needs in the changing healthcare environment. We provide data and analysis activities to healthcare providers, professional societies and associations, industry organizations, and grassroots agencies, and advocacy groups to affect the policy and social changes in the health care system they wish to see.

Other Services - We offer a wide variety of other healthcare services including

• Regulatory analyses of Medicare rules and regulations
• Data analysis and policy development guidance on OPPS issues to government agencies including CMS
• Inpatient and outpatient coding compliance audits with a special focus on drug administration (injections and infusions), radiology, nuclear medicine, radiation oncology and pharmacy
• Preparation for recovery audit contractor (RAC) audits
• Facilitation and project management related to external and internal audits
• Pharmacy services, billing, reimbursement and compliance risk review
• Drug administration charge, capture and compliance risk review
• Charge capture assessment - risks and opportunity areas
• Review and analysis of local medical review policies and the use of advanced beneficiary notices
• Implementation and development of E/M coding guidelines
• The understanding of the ICD-10-Procedure Coding System
• Development and implementation of outpatient revenue management, compliance programs
• Others