Article | September 28, 2020

The Basics Of Coverage Analysis

Source: Complion
Control Site Payments

Billing compliance is a highly prevalent matter in research administration. As such, institutions are continually looking for ways to ensure compliance, one of which is coverage analysis.

Coverage analysis is the process of reviewing a clinical trial protocol and determining which items and services can be billed to the study sponsor, and which can be billed to insurance. Though tedious, the process is crucial to the administrative wellbeing of a study, and can help prevent costly errors that lead to billing non-compliance.

Medicare has strict rules that state a provider cannot receive payment from one party for a service and bill Medicare for that same service. Also known as “double billing,” this process is a severe form of Medicare fraud. However, by conducting a coverage analysis, you can avoid this mistake.

VIEW THE ARTICLE!
Signing up provides unlimited access to:
Signing up provides unlimited access to:
  • Trend and Leadership Articles
  • Case Studies
  • Extensive Product Database
  • Premium Content
HELLO. PLEASE LOG IN. X

Not yet a member of Clinical Leader? Register today.

ACCOUNT SIGN UP X
Please fill in your account details
Login Information
ACCOUNT SIGN UP

Subscriptions

Sign up for the newsletter that brings you the industry's latest news, technologies, trends and products.

You might also want to: