CPT Preparation Facilitation
Run the multi-year CPT preparation work as a managed program: evidence assembly, AMA navigation, payer dialogue, and stewardship.
Overview
A CPT application is a program, not a project. Evidence must accumulate. Payer relationships must mature. The AMA Editorial Panel and the RUC have schedules, formats, and unwritten expectations that reward sustained preparation and punish improvisation.
We run that program. From the day the go decision is made to the day a Category I code appears in CPT, we manage the evidence pipeline, the AMA submission cadence, the payer outreach, and the documentation that satisfies every reviewer along the path.
Our Process
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1
Program charter
Multi-year plan with checkpoints, named workstream owners, and a clear definition of success.
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2
Evidence pipeline
Quarterly review of generated and forthcoming evidence; gap-filling commissioned as needed.
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3
AMA cadence management
Annual submission planning, panel preparation, and presentation rehearsal.
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4
Payer parallel track
LCD development, coverage policy outreach, and clinical advisory engagement.
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5
Stewardship & maintenance
After code grant: utilization tracking, policy advocacy, and code revision support.
Frequently Asked Questions
How long is a typical engagement?
Multi-year. Most CPT preparation programs run 3-5 years from go decision to Category I grant.
Do you have AMA Editorial Panel relationships?
We engage through the formal Editorial Panel process. The relationships that matter are with the specialty societies whose sponsorship is required.
Can we pause the program if our commercial priorities shift?
Yes, programs of this length always face priority shifts. The charter explicitly contemplates pauses.
What is the all-in cost?
Engagement fees are scoped per program; evidence generation costs (clinical studies, RWE collection) are separate and typically dwarf the program fees.
Run CPT preparation as a managed program, not a side project.
Once you have a go decision, share your evidence base and commercial priorities. We will draft a multi-year program charter within six weeks.
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