Conference on Clinical Trials may be at Risk for Potential Fraudulent Billing. Conducting a Billing Risk Assessment and Coverage Analysis are Essentia

 

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.

 

Speaker Profile 

Gail Madison Brown is a registered nurse and an attorney with over 25 years of experience in health care. For the last 15 years she has focused on health care compliance and revenue cycle management operations. Gail’s experience ranges from starting new compliance programs and making improvements to existing programs for physician practices to large health care organizations. Gail also has provided numerous lectures to healthcare providers, executives and professional colleagues. 

Gail Madison Brown will develop, implement, and oversee processes, systems, educational programs, and other activities necessary to support and grow clinical trials activities at the UT Health Science Center. The Chief Clinical Trails Officer (CCTO) provides overall strategic leadership in this area including planning, goal setting, and monitoring organizational performance to ensure cost effectiveness and high quality programs.   Price : $139.00  Contact Info: MentorHealth Phone No: 1-800-385-1607 FaX: 302-288-6884  support@mentorhealth.com Event Link: http://bit.ly/Clinical-Trials-may-be-at-Risk-for-Potential http://www.mentorhealth.com/   LinkedIn  Follow us – https://www.linkedin.com/company/mentorhealth  Twitter Follow us – https://twitter.com/MentorHealth1  Facebook Like us– https://www.facebook.com/MentorHealth1