Wells Health Group
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    • Medicare 60-Year Evolution
    • CPT/HCPCS Coding
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WHG is a Health Policy Consulting & Government Relations Firm Based in Washington D.C. on Pennsylvania Ave. Between the Capitol & the White House

WHG Helps Clients Develop & Execute Successful Health Policy & Government Relations Strategies to Maximize Enterprise Value
  • Focusing on New Era Health Policy & Political Ideology
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Wells Health Group Areas of Expertise
Health Policy Consulting
  • Coding, Coverage, and Payment - DRG, APC, CPT, HCPCS
  • DRG, CPT, HCPCS, APC, provider utilization & payment data 
  • FDA & CMS RAPID program access to new technologies
  • CMS annual rule-making & policy advocacy 
  • RVU buildup analysis & physician fee schedule survey services

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   Government Relations
  • Solving problems navigating complex Congressional healthcare policy oversight processes
  • Traversing budget neutral mandates in multi-layered decision-making systems
  • Developing effective government relations strategies to help maximize reimbursement and market access

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   M & A Consulting​
  • Buy/sell side revenue cycle management assumptions
  • Pragmatic validation of coding, coverage, & payment expectations
  • CMS provider utilization & payment analytics to confirm market & demographics assumptions
  • New technology FDA & CMS approval pathways with timelines

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Why Choose WHG ​- Innovators in Health Policy & Government Relations

WHG's innovative approach to health policy consulting and government relations is built on a two-step sequential process founded on 70+ years successful healthcare industry and government relations experience:
  1. A core set of essential strategy analytics - deep dive into the client’s requirements and an analysis of supporting CMS actual provider utilization and payment data, annual proposed rule payment analytics, and WHG proprietary analytical tools to develop executable solutions to impact CMS annual rule making.
  2. Focused reimbursement pathways - evidence based and data driven. WHG Proprietary 7-Step Reimbursement Analytics - Guidance through all 7-reimbursement steps - from diagnosis, treatment plan, site of care, and benefit category to coding, coverage and payment.​​
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WHG's two-step process remains the successful foundation of our innovative approach to health policy consulting and government relations - clinical data evidence. Our proven processes helps us collaborate with clients to more effectively navigate all the new federal regulations.
  • Clients can miss critical analytics at the beginning of the 7-step reimbursement process focusing first on coding, then coverage and payment.  
  • Coding, coverage and payment pathways first require meeting ICD-10 CM or ICD-10PCS qualifying site of care parameters, then meeting CMS defined benefit categories.
  • Clients frequently encounter denials because of site of care or benefit category issues.

New Era and Beyond - The Administration, Federal Agencies, and Congress require more and more health policy decision-making to be made based on:
  • Fraud, waste, and abuse compliance
  • Outcomes aligned budget neutral payments
  • Chronic disease crisis awareness
  • FDA and CMS RAPID program to accelerate coding, coverage, and payment access to new technologies

​​Why Our 70+ Years Industry & Government Relations Experience Matters

  • Because ​we come from the healthcare industry - WHG is uniquely positioned to best understand our client’s challenges and develop targeted government relations strategies.
  • Because of our government relations experience representing industry, we knew it was critical for WHG to have a Washington D.C. presence.
  • Because WHG is strategically located on Pennsylvania Avenue between the Capitol and the White House and just six blocks from the main HHS building, WHG has been able to more readily access face-to-face meetings at multiple levels of the HHS Agencies and on Capitol Hill.
  • Because of WHG's previous years of Washington D.C. presence, participating in face-to-face meetings at multiple levels of  the HHS Agencies and on Capitol Hill, we know how to leverage  virtual access  to multiple levels of the HHS Agencies and on Capitol Hill.​​
  • Because of WHG’s years of healthcare and government relations experience we understand how to acclimatize and manage the challenge of evolving political ideology and the potential impact on the healthcare delivery system.

Federal Regulations - CMS reimbursement processes, CDC guidance, FDA regulations and NIH expanded research
are not intuitive and can lead to uncertainties and market access complications

Wells Health Group
565 Pennsylvania Ave. NW Suite #1201     
Washington, D.C. 20001
[email protected]
Office:  202.629.4366
Contact us to discuss how we can help
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