Dean H. Stanton · Selected Work

HCPCS / PDAC Coding, Application & Reconsideration Governance

A sustained medical-product market-access program connecting HCPCS research, PDAC applications, product evidence, executive authorization, DMECS maintenance, adverse-decision review, and controlled reconsideration across an orthopedic portfolio.

Results

Results and contributions.

01Portfolio-wide coding processOrganized applications, decisions, product information, and reconsideration material across the orthopedic portfolio.
02Successful reconsiderationSecured a successful 2010 reconsideration for specific product configurations through coordinated application and product-evidence work.
03Ongoing classification managementManaged recurring applications, decisions, reconsiderations, and DMECS maintenance to keep product classification and commercial information aligned.
01
Situation

Operating context

PPI needed defensible HCPCS classification across a broad orthopedic portfolio while keeping product evidence, submissions, samples, decisions, product consistency, DMECS records, and commercial information synchronized.

02
Challenge

What made the work difficult

A coding decision affects product market access but is not the same as insurance coverage or guaranteed reimbursement. Applications had to align product evidence, variants, deadlines, decisions, reconsiderations, and product-data changes across teams.

03
Dean's role

Responsibility and authority

Dean provided executive sponsorship and direct participation in coding research, application and reconsideration management, product-evidence coordination, executive authorization, decision tracking, and the response to classification changes across the portfolio.

04
Actions

How the work moved forward

  1. Governed HCPCS and PDAC product-scoping, evidence-package, and submission workflows across multiple product families.
  2. Coordinated product information, literature, identifiers, samples, executive authorization, and decision tracking.
  3. Managed adverse-decision review and reconsideration cycles as controlled product-realization work rather than isolated paperwork.
  4. Maintained alignment among coding decisions, DMECS/product-classification records, product data, and commercial communications.