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

    • 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

    • 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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