Webinar on Clinical Trials may be at Risk for Potential Fraudulent Billing by Gail Madison Brown(Chief Clinical Trials Officer)

Overview: Participants will learn what constitutes a qualified clinical trial and how to conduct a billing risk assessment on a clinical trial study. A sample tool will be provided. Our discussion will also teach participants how to conduct a Medicare coverage analysis and also develop an associated billing spreadsheet.

Why should you Attend: Clinical trials may involve routine and non-routine items and services. Since these may part of a clinical trial, billing rules are different and you need to determine how the costs for treatment/services will be reimbursed. There may be multiple payors, including the sponsor and the patient’s insurer. If you conduct & bill for clinical trials, you must be familiar with billing risks and understand how to conduct a coverage analysis; to ensure that the items and services provided as part of a clinical trial are billed and reimbursed properly. 

Areas Covered in the Session:

• Clinical trials routine and non-routine items and services
• Determining billing risk of a clinical trial
• Conducting a billing risk assessment
• Conducting a Medicare coverage analysis
• Developing a billing spreadsheet to ensure proper billing of identified services

Who Will Benefit:

• Clinical trial research team members
• Coders and billers involved with coding/billing clinical trials
• Principal Investigators
• Individuals responsible for ensuring proper billing assignment for clinical trials
• Including Clinical Trials office personnel.