Your vision.  Our experience.

Ms. Renbaum has lead several national campaigns for coverage and payment among Medicare and commercial payers, and negotiated payer/provider contracts nationally and regionally. Ms. Renbaum’s experience ranges from complex, hospital-based surgical devices and implants, to drug/device combination products, and office-based procedures and diagnostics. Ms. Renbaum has negotiated directly with Medicare nationally and regionally, national commercial payers (e.g., Aetna, Cigna, Humana, United HealthCare, BCBS Plans), and many regional plans. 

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She works closely with specialty medical societies to build advocacy and physician consensus to overcome payer barriers. She has secured reimbursement for office-based procedures via new CPT procedure codes developed by the AMA’s CPT Editorial Panel, and educated clients about the Resource-Based Relative Value Scale (RBRVS) for integrating the cost of new technologies into the newly created CPT codes.  In addition, Ms. Renbaum has secured additional payment to hospitals for premium-priced new devices used in the Hospital Inpatient and Outpatient Departments through New Technology Add-On Payment and New Technology APC/Transitional Pass-Through Payments, respectively.  

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Adi delivers results for her clients, in part because she recognizes the role and influence of each of the many stakeholders involved in bringing a novel medical technology into every day clinical practice.  She has worked with the constellation of influencers for new medical technology: groups of payer medical policy experts; practicing physicians and leading medical opinion leaders; Medicare administrators; hospital financial managers and their reimbursement staff; and clients’ teams and external advocates, to cultivate high-performance teams that achieve intended strategic objectives. To support her clients’ objectives, Ms. Renbaum draws from an extensive network of experts, including clinical trialists; health economists and data analytics experts; coding and technical reimbursement experts, to bring together the necessary skills to solve problems and advance her clients’ business strategies.

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Education

Adi holds an MBA from the Fuqua School of Business at Duke University and a BA from the George Washington University in Washington DC.

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