Policy Review Consultants

PRC Assessments

PRC Assessments provides the healthcare sector with 3rd party Medical Policy review, analysis and comment submission. Our team of Policy Analysts have experience reviewing thousands of Coverage Criteria across all topics. This, combined with our key Payer contacts, positon PRC Assessments to provide key insights into the strengths and weaknesses of Payer coverage policies.

We provide:

-       Clinical study review and critique

-       Full Medical Policy assessment

-       Rational Analysis

-       References Review

-       Medical Policy Comment Submission

Key Services

-       Independent Medical Policy Review & Analysis

-       Coverage Policy Comment Submission  

-       Clinical Study Analysis and Assessment

-       CPT Coding Applications

-       Market Access Consulting

At PRC Assessments, we employ Policy Analysts with extensive, real-world market access, policy analysis and study design backgrounds to provide insight and strategy. We take a structured approach to assessing the payer policy landscape, evaluating current written coverage policies and submitting comments.

Our Step-by-Step Process Includes:

-       Payer Coverage Landscape Assessment

-       Literature and Clinical Study Review

-       Payer Rational and Reference Review

-       Comment Submission

-       Payer Follow up