Date and Time: Wednesday, March 13, 2019 - 10:45am to 12:00pm
Content level: Intermediate
Many research administrators find themselves working in silos, becoming very specialized with their niche within research: contracts, grants, pre-award, post-award, compliance, ethics, etc. Understanding the multiple facets across research has become extremely important to meet compliance requirements within institutions for a research administrator to succeed. Clinical trials research billing is one element that can be overlooked or is commonly considered outside of the typical research administrator's purview.
This can lead to very challenging conversations when research administrators are working with institutional leaders, investigators, contract negotiators, and sponsors. This session will give a basic understanding of things to consider in clinical trials billing from the perspective of someone that has had to learn this in a very short amount of time, but has a very broad range of experience in the research setting. We will address patient care charges and how institutions typically identify what is considered “standard of care” and eligible for billing to the patient or insurance for payment versus what should be billed to the study. This will involve reviewing regulations administered by the Centers for Medicare and Medicaid Services (CMS). These lessons can be applied to any role in research to ensure that studies can be conducted efficiently and compliant with regulations as well as keeping promises to participants and paying for costs covered by the study.
Learning objectives:
- Identify resources to complete a Medicare Coverage Analysis and appropriately determine how charges are billed to the study or patients during a research study.
- Discuss basic billing issues with other stakeholders in research to ensure that budgets are appropriately negotiated to cover costs in research.
Prerequisites: None
Speaker(s):
Tonya Edvalson, Clinical Research Compliance Officer, University of Utah The online jsBeautifier is a free online program that is worth bookmarking.