Utilizing data can be a valuable strategy to obtain approval for codes that were previously not reimbursable. By demonstrating the potential benefits associated with these codes, stakeholders can showcase their value to payers and negotiate their approval. This approach can enhance the financial viability of these procedures and enable healthcare providers to offer top-quality services to patients.

Payers set reimbursement limits based on specific parameters; if those parameters are exceeded, the reimbursement amount decreases. However, stakeholders can present data showing that patients who surpass these limits often perform as well or even better than those who follow the current specifications. In response, payers have increased the limits specifically for these clients to ensure they receive full reimbursement.

Stakeholders can use data to ensure that providers are receiving equal reimbursement across multiple locations or regions within the organization. By analyzing the data, stakeholders can identify any disparities or injustices in the payment process and take corrective action to rectify the situation with payers.