Merlino Healthcare Consulting Corp.

Merlino Healthcare Consulting provides practical, client-specific coding and reimbursement advocacy, guidance and education. For details, go to Services.

To provide current, accurate, relevant, coding, coverage, payment and healthcare clinical and economic information for our clients' specific needs, creating and transforming complex payment systems into clear and manageable business opportunities.

Denise A. Merlino, MBA, CNMT, FSNMTS, CPC is a nationally recognized nuclear medicine coding expert. She has expertise in medical imaging, drug and radiopharmaceutical reimbursement, hospital and physician office administration, pharmaceutical marketing and payer relations.

Ms. Merlino has more than 25 years’ experience with clinical and economic issues in hospitals and physician group practices. She is a certified coder with hospital and physician group practice healthcare network assignments in nuclear medicine, interventionalneuro and diagnostic radiology, anesthesiology and diagnostic medical imaging. She also has extensive administrative experience in finance, operational development, benchmarking, facility and practice expansion, strategic planning and project management in these specialties. (Read more)

Our clients are engaged in nuclear medicine and other medical imaging modalities in the United States and around the world. They include: professional medical societies and organizations; healthcare professionals, including administrators, billers, physicians and technologists in:
- hospitals
- independent diagnostic testing facilities (IDTF)
- physician office practices
healthcare manufacturers and consultants in biotechnology, equipment, supplies, pharmaceuticals and radiopharmaceuticals; and consulting firms and trade organizations

Some of our clients include:
Acusphere, Inc.— www.acusphere.com

Atlantic Cardiology Associates
Bracco Diagnostics, Inc. — www.bracco.com

Cambridge Heart, Inc. — www.cambridgeheart.com
Children's Hospital Boston — www.childrenshospital.org
IBA Molecular — www.iba-worldwide.com/molecular
Molecular Insight Pharmaceuticals, Inc. — www.molecularinsight.com
MedLearn — www.medlearn.com

Organogenesis, Inc. — www.organogenesis.com

Triad Isotopes, Inc. — www.triadisotopes.com
American College of Cardiology — www.acc.org
American Society of Nuclear Cardiology (ASNC) — www.asnc.org
Society of Nuclear Medicine (SNM) — www.snm.org

Denise A. Merlino, MBA, CNMT, FSNMTS,CPC is a nationally recognized nuclear medicine coding expert. She is a certified coder with clinical expertise in medical imaging, drug and radiopharmaceutical reimbursement, hospital and physician office administration, pharmaceutical marketing and payer relations.

Ms. Merlino has more than 25 years’ experience with clinical and economic issues in hospitals and physician group practices. She has had hospital and physician group practice healthcare network assignments in nuclear medicine, interventionalneuro and diagnostic radiology, anesthesiology and diagnostic medical imaging. She also has extensive administrative experience in finance, operational development, benchmarking, facility and practice expansion, strategic planning and project management in these specialties.

Additionally, Ms. Merlino is experienced in leading reimbursement initiatives for new drug launches. She has provided innovative solutions on both national and local reimbursement issues for existing products and procedures.

In her most recent position as Associate Director of Services and Payer Marketing with a large pharmaceutical company, she was responsible for professional relations, domestic commercial development and payer marketing services.

Ms. Merlino serves professional societies in many capacities. She was a founding member of the Society of Nuclear Medicine’s Nuclear Medicine APC Task Force as the Technologist Section representative, and has played a key role in shaping the nuclear medicine Ambulatory Payment Classification (APC) design. She holds membership and affiliations with other professional societies, including AHRA, ASNC, MGMA and RBMA. In 1993, Ms. Merlino was appointed to the Advisory Commission for Radiologic Technologists for the Commonwealth of Massachusetts.

Ms. Merlino is often an invited national speaker on topics including managed care, healthcare management, hospital APCs, the physician fee schedule, general reimbursement, benchmarking and recruitment and retention to many audiences.

She is a certified Nuclear Medicine Technologist and received an A.S. from the Massachusetts College of Pharmacy A.H.S., a B.S from the University of Massachusetts at Boston and an M.B.A with a concentration in healthcare administration from Western New England College.