Surgical Coding & Reimbursement Consulting

Navigating complexity with precision & purpose

Straight Vine Consulting brings physician-led expertise to surgical coding, compliance, reimbursement strategy, and advocacy — so your practice can operate at its highest potential and your products reach the widest market.

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About
Grounded in surgery.
Fluent in policy.

Straight Vine Consulting was built around a single conviction: the most effective reimbursement strategy comes from someone who has sat on both sides of the table — who understands not only how CPT codes are written, but how they move through the legislative, regulatory, and political systems that determine whether new procedures and products get paid for.

We work with medical device and life sciences companies to build reimbursement platforms from the ground up — creating CPT codes, leveraging deep relationships with coding experts and thought leaders across multiple surgical specialties to shepherd those codes to stable reimbursement. We help industry navigate the complex and often opaque environment around getting paid for innovation. And we work directly with practices and health systems to maximize what they're already earning — through correct coding, optimized revenue cycle management, and a sharper understanding of how reimbursement actually works.

Noah Raizman, MD, MFA, CPC, FAOA, FAAOS
Principal
Deep Fluency in How Reimbursement Works
Years of hands-on involvement in how CPT codes are written, valued, and defended — including how the RUC process works, how specialty societies build and submit valuation arguments, and where those arguments succeed or break down. Certified Professional Coder.
Familiarity Across the Specialty Landscape
Extensive experience working within and across multiple specialty societies and the AMA on coding, reimbursement, and practice management issues. That breadth matters when shepherding a new code — the pathways, the stakeholders, and the friction points differ by specialty, and knowing the terrain is half the battle.
Grounded in Clinical Evidence
A long track record contributing to clinical practice guidelines and appropriate use criteria across hand, shoulder, and elbow. Reimbursement strategy that can't withstand clinical scrutiny isn't strategy — it's a liability. That foundation is built in.
Where surgical expertise
meets strategic counsel
01

Surgical Coding & Compliance

Accurate, defensible coding grounded in clinical reality. We audit coding practices, identify risk areas, and build compliance frameworks that hold up to scrutiny. And because we bridge the gap between surgeons and both auditors and payors — understanding the clinical picture as deeply as the billing — we can resolve disputes and close gaps that generalist consultants can't.

02

Reimbursement Strategy for New Products

For medical device and life sciences companies bringing innovative procedures to market. Building the CPT pathway from the ground up — code creation, valuation arguments, and shepherding the process across the payor landscape to achieve stable, sustainable reimbursement.

03

Practice Reimbursement

Helping surgical practices and health systems maximize what they're already earning. Fee schedule analysis, RVU optimization, documentation strategy, and a clear-eyed look at where revenue is being left on the table — and why.

04

Advocacy & Government Relations

Effective policy engagement requires both clinical authority and political fluency. We help innovators, practices, and physicians craft and deliver compelling testimony, comment letters, and strategic positioning on regulatory matters.

05

Coding Guidance & Strategy

Individualized guidance on CPT coding — not a training program, but hands-on strategic counsel tailored to your specific procedures, payer mix, and risk profile. Documentation best practices, audit readiness, and a clear path to maximizing appropriate reimbursement for the work you're already doing.

06

Value-Based Care & Payer Negotiations

Navigating the shift toward value-based payment models and negotiating in-office surgery arrangements with payors. Understanding what these contracts actually require — clinically and operationally — and structuring agreements that work for your practice.

07

Practice & Society Advisory

Strategic counsel for surgical practices and life sciences innovators facing complex coding, compliance, or policy challenges. A trusted advisor when the stakes are high and the landscape is shifting.

Expertise that earned its seat at the table
  • Physician-Led, Not Consultant-Guessed

    Every recommendation is informed by direct surgical experience. We don't interpret what happens in the operating room — we've lived it.

  • National-Level Access & Credibility

    Established relationships within AMA and national advisory structures mean your issues are heard by the people who shape policy.

  • Compliance That Protects, Not Just Checks Boxes

    We build systems designed to withstand audits and evolving regulations — not just meet today's minimum standard.

  • Clarity in a Complex Landscape

    Surgical reimbursement and coding policy is dense by design. We translate it into actionable strategy so you can focus on patient care.

20+
Years Clinical &
Policy Experience
Contact
Ready to bring clarity
to your coding & compliance?

Straight Vine Consulting welcomes engagements from surgical practices, healthcare innovators, and healthcare organizations. Reach out to discuss how we can help.

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