Marcia Nusgart R.Ph. is the President and Founder of Nusgart Consulting LLC. She is a nationally-recognized Healthcare Common Procedure Coding System (HCPCS) coding expert and an industry leader in providing comprehensive strategies to medical device, pharmaceutical and biological manufacturers regarding coding, coverage and reimbursement issues under Medicare, Medicaid and commercial payers Her accomplishments range from advocating successfully for the Centers for Medicaid and Medicare Services (CMS) to modernize the HCPCS coding process to make it more timely, transparent and understandable for manufacturers to obtaining new HCPCS codes along with appropriate coverage and payment for manufacturers' products.
Marcia is also well known in the home care and wound care industry through her role as Executive Director of the Coalition of Wound Care Manufacturers and Executive Director of the Alliance of Wound Care Stakeholders. Marcia has previously served as Associate Vice President, Home Care for the Advanced Medical Technology Association (AdvaMed). Prior to joining AdvaMed, Ms. Nusgart worked as Director of Home Care for the National Community Pharmacy Association. She has also served in senior positions with Super X Drugs (now CVS) and for Merck.
Marcia Nusgart is a well-known respected expert on obtaining new HCPCS codes and coding verification. She is the author of " HCPCS Coding: An Integral Part of Your Reimbursement Strategy" (Advances in Wound Care, Dec. 2013). In order to make the HCPCS coding system more timely, understandable and predictable, she created and founded the Alliance for HCPCS II Coding Reform. In this leadership role, she has been at the forefront in meetings with the Centers for Medicare and Medicaid Services (CMS) to advocate for modernization of the HCPCS coding system. (See HCPCS advocacy page for more information.)
She holds a Bachelors of Science in Pharmacy from the Ohio State University. Marcia currently serves on the Boards for five distinct organizations: George Washington University Regulatory Affairs Programs Advisory Board, the Ohio State University College of Pharmacy, Kestrel Wound Care Wound Source and Premier Homecare and Jewish Social Services Agency of Greater Washington.
She has received numerous honors ranging from the 2011 Distinguished Alumni award by the Ohio State University College of Pharmacy to the AAWC Leadership Award to the designation of Master from APWCA, both honoring key opinion leaders who have made significant contributions impacting wound care.