Building a Compliant Clinical Research Billing Program

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Building a Compliant Clinical Research Billing Program

Product Code: YHHA052120A

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Building a Compliant Clinical Research Billing Program

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Presented on: Thursday, May 21, 2020 1:00-2:30 p.m. Eastern

Presented by: Mary Veazie, MBA, CPA, CHC, CHRC

Clinical research can be a source of hope for many patients; an innovative treatment can turn a once-fatal disease into manageable condition, and a new drug or device can greatly improve a patient’s quality of life. But for providers, it is often difficult to navigate the clinical operations involved in billing for clinical research. Due to the various regulations governing clinical research billing, providers must understand the multitude of elements to include on claims while coordinating with many groups within a research center to ensure all information is captured appropriately. 

During this 90-minute webinar, expert speaker Mary Veazie, MBA, CPA, CHC, CHRC, will walk through the key concepts and regulations for clinical research billing. This program will address Medicare billing regulations, national coverage determinations, and local coverage determinations applicable to clinical trials. It will also review claims requirements such as research modifiers to indicate research costs and routine costs, and it will walk through interdepartmental communication techniques to help attendees institute a clear, comprehensive process and road map for clinical research billing compliance.

At the conclusion of this program, participants will be able to:

  • Understand the regulations governing clinical research billing
  • Explain key billing and coverage concepts involved in clinical research billing
  • Describe how clinical research billing impacts clinical operations and the revenue cycle

Agenda

Key concepts in clinical research billing

  • Determining qualifying clinical trials status
  • Separating out routine care vs. research
  • Distinguishing between routine care and standard practice
  • Applying research modifiers
  • Reviewing sponsor billing vs. patient billing

Regulations governing clinical research

  • National coverage determination (NCD) 310.1
  • Local coverage determination policies
  • CMS billing guidelines
  • Other health insurance payer billing guidelines

Incorporating regulations into daily operations

  • Establishing effective communication techniques
  • Developing compliant billing processes 
  • Collaborating with clinical operations and patient billing teams
  • Creating standard operating procedures

Live Q&A

Tools

Clinical research billing policy template

Who Should Listen?

  • HIM managers and directors
  • Coding staff
  • Coding managers and directors
  • Revenue cycle managers and directors
  • Revenue integrity staff
  • Billing staff
  • Patient financial services
  • Charge capture staff
  • Financial clearance center teams
  • Patient access staff
  • CDI managers and staff
  • Patient care staff

Meet the Speaker

Mary Veazie     

Mary Veazie, MBA, CPA, CHC, CHRC, is the executive director of clinical research finance at the University of Texas MD Anderson Cancer Center in Houston. She has more than 15 years of experience in clinical research finance and more than 25 years of financial and auditing experience. Veazie is a Certified Public Accountant and is certified in Healthcare Research Compliance and Healthcare Compliance. Her skill set includes full comprehension of the clinical research billing process and its impact on an organization’s clinic operations and revenue cycle.

 

Continuing Education

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for 1.5 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE 
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.