Providers
Clinician-to-clinician support for prior authorization, denial avoidance, chart review, appeals, and reimbursement — so you can focus on patient care.
Reimbursement, Authorization & Market Access
The power of good advice.
Over twenty years of experience leading reimbursement, prior authorization, denial avoidance, compliance, and clinical documentation strategy across orthotics, prosthetics, and medical devices.
Trusted partner to providers and manufacturers navigating coding, chart review, payer approval, appeals, FDA and PDAC submissions, and U.S. market access.
Who We Serve
Three pillars of value
Manufacturers
FDA and PDAC submission support, U.S. market entry strategy, reimbursement pathways, and provider adoption for domestic and international device companies.
Training
Education for clinical and administrative teams on documentation improvement, payer requirements, coding, compliance, and reimbursement readiness.
Services
Tailored support for your role
Provider Services
Get paid and stay paid with proactive denial avoidance and clinician-led documentation support.
- Pre-submission chart review & medical necessity
- Prior authorization & payer communication
- Appeal preparation & ALJ representation
- Microprocessor knee & foot approvals
- Compliance, coding & workflow design
- Secure online evaluation — submitted directly to OandPServe (no downloads)
- Chart review with feedback — $300 per review (feedback only; not a payer submission document)
- Manufacturer referral & full submission options — fees confirmed before work begins
Manufacturer Services
Advance U.S. market access with regulatory, clinical, and reimbursement strategy from product launch through coverage.
- FDA & PDAC submission preparation & support
- Reimbursement & coding strategy (HCPCS)
- U.S. market entry for international manufacturers
- Clinical trial management & product evaluation
- Provider adoption & clinical positioning
- Cross-functional sales, marketing & clinical support
Industries Served
Deep expertise across O&P and MedTech
Orthotics & Prosthetics
Medical Devices
Microprocessor Prosthetics
Medicare & Medicaid
International Manufacturers
Documentation Top 6
Make it make sense
Practical guidance clinicians use every day to improve approval rates and reduce rework.
Tell the patient story
Your clinical notes must reflect a clear process that makes sense to the chart reviewer.
Avoid abbreviations
Don't assume the reviewer is familiar with abbreviations you use daily.
Less is more
Quality over quantity — be concise and avoid repeating yourself.
Practice denial avoidance
Answer a reviewer's questions before they ask them.
Review the policy
You can't document correctly if you don't know the payer's requirements.
Call for help
It's OK to reach out. We're here at (952) 237-8489.
About Kevin Symms
Minnesota-based consulting since 2019
Kevin A. Symms, owner of OandPServe LLC, brings executive-level clinical and administrative expertise to prosthetic and orthotic providers, medical device startups, and international manufacturers pursuing U.S. market entry.
Prior to founding OandPServe, Kevin served as Director of Clinical Operations and Director of Clinical & Scientific Affairs at Hanger Clinic, where he directed microprocessor-controlled lower extremity prosthetic care, led clinical trials and product launches, and developed programs including the Transparent Facial orthoses program. He has also held leadership roles at Abilitech Medical and Zero-Cast Ltd., and served as a core team member on the Department of Defense and NIH-funded Limb Loss and Preservation Registry (LLPR) at Mayo Clinic.
Kevin is a Licensed Prosthetist Orthotist (LPO), Certified Orthotist (CO), and Board Certified Prosthetist Orthotist (BOCPO), with a Bachelor of Science in Prosthetics & Orthotics (Honors) from The University of Salford (UK).
Client Testimonials
Trusted by clinicians and industry partners
"Kevin is very knowledgeable when providing documentation and justification for medical necessity. I had the pleasure of working and collaborating with Kevin on Medicare requirements for the Linx System. No matter how frustrated I was with medical jargon, Kevin kept me focused and the assurance that the patients' needs are being met as well as adhering to insurance policy."
"I had the privilege of working with Kevin for many years in the medical device industry and experienced first-hand his approach to developing a long-term value oriented relationship for us and our companies. Kevin exemplifies the definition of a true business partner. His ability to collaborate and develop beneficial and actionable objectives make for win-win outcomes for all parties involved."
Contact
Let's talk about your next approval — or your next product launch.
- Phone (952) 237-8489
- Email KAS@OandPServe.com
- Location Excelsior, Minnesota · Greater Minneapolis–St. Paul
- LinkedIn linkedin.com/in/kasymms