Year Published: 2019

Time to Complete: 25 min

Speaker: Douglas Reichgott, MS

Learning Level: Fundamental

Primary Audience: Research Team

Prerequisite: None

Skills Domain: Study and Site Management

Does your clinical trial qualify for insurance coverage? Do you know what services are covered by insurance?

In this course, Douglas Reichgott, MS, Former Director of Financial/ Regulatory Operations and Research Administration, Tufts Medical Center, will walk you through the Medicare Coverage Analysis (MCA) Process so you can avoid non-compliance and ensure that you are properly billing insurance for your study. You will learn the standards that determine a qualifying study and what services are covered. You will also learn how to create a billing grid, the necessary parties to communicate with, and how to operationalize the steps for your qualifying clinical trial.

Learning Objectives:

After completing this course, you will be able to:

  • Implement the steps of the Medicare Coverage Analysis Process
  • Determine whether your study qualifies based on the ten standards
  • Use a billing grid to identify what can be billed to insurance and what must be paid by study funds

Content Outline:

  • Introduction to Clinical Trial Billing
  • Requirements around Medicare and Clinical Trial Billing
  • What is Covered for Qualifying Studies
  • How Do We Determine a Routine Care
  • Creating a Billing Grid
  • What To Do After Completing a Medicare Coverage Analysis

Resources

  • Lecture Slide Deck (PDF)

Course Evaluation

  • Post-Course Evaluation
  • Course Completion Verification

 

 This Course is Free