Clinical Trial Billing Documentation Best Practices: Optimize Reimbursement
Medicare regulations. FDA guidance. Industry best practices. If you administer a clinical trial, you’re aware that billing and reimbursement are key to the overall and bottom line success of your trial.
Your need to know the nuances for optimizing your reimbursement including documenting medical necessity, notating exactly what treatment was provided, correctly coding for services covered and conducting an annual review of your key research documents.
Learn documentation best practices for compliant clinical trial billing from an experienced nurse and auditor.
- Relationship between documentation of medical necessity and billing compliance
- Enhancement of billing compliance using medical necessity language and document consistency reviews
- Connection between the language used in the informed consent form and billing compliance
- Nuances of specific codes and modifiers for claims under Medicare’s clinical trial policy and investigational medical device regulation
- Importance of complying with Medicare diagnostic and procedural codes: diagnostic code Z00.6 — examination of participant in clinical trial; procedure code modifier Q0; and procedure code modifier Q1 — routine costs
Optimize your reimbursements through best practices in billing, documentation and compliance.
About the Presenter
Nancy Reynolds Howard, RN, BSN, CCRC, is a consultant at NRH Compliance Partners. She has tremendous experience as a clinical research compliance consultant and registered nurse. She provides consulting expertise in areas such as GCP and regulatory auditing, process optimization and research team training. She has more than 30 years of health care industry experience. She is certified in clinical research auditing and is ACRP certified.
Who Will Benefit
- Site administrator
- Site coordinator
- Clinical trial coordinator
- Clinical trial consultants
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