Empowering MedTech Innovation Through
Market Access Expertise
Your Partner in Achieving Commercial Success with Comprehensive Coverage, Coding, and Payment Solutions
Who We Are
River of Nickels was launched to help MedTech companies achieve commercial success through meaningful coverage, coding, and payment milestones.
The value that we provide is based on three decades in market access working with medical device companies from startup to established organization. Our team has extensive experience in coding & reimbursement analysis, strategy development, market access training, and CPT change applications.
We evaluate potential market opportunities and construct comprehensive market access strategies for medical devices across multiple settings of care. Our team has worked in over 20 clinical specialties, including oncology, urology, rheumatology, and gastroenterology.
Our Capabilities
Coverage and Coding Landscape Analysis
Coding & Billing Guides
Medicare and Commercial Prior Authorization (PA) and Appeals Support Tools
CPT Coding Applications for Category I and Category III Codes
Market Access Training
Medicare and Commercial Payer Engagement Initiatives
Value Analysis Committee (VAC) Packet
Our Services
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Reimbursement landscape assessments
Reimbursement strategy and tactical plans
Coding applications: CPT, Transitional Pass-Through/TPT
Education and training program development
Creating clinical and economic value presentations
Advocacy plan development
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Developing reimbursement and market access field tools
Field reimbursement and sales manager training programs
Provider and patient advocacy programs
Expanding payer coverage
Prior Authorization (PA) and Appeals support
Contact Us
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