Healthcare Compliance Professional's Guide to Clinical Trials (Book)

Ensure your clinical trial billing meets OIG and CMS compliance standards

Billing for clinical trials is a focal point of government scrutiny, with several new CMS directives that mandate compliance with regulations for hospitals and university research facilities.

The Healthcare Compliance Professional's Guide to Clinical Trials helps you sort through the various rules and establish policies and procedures that ensure Medicare-covered research is reimbursed appropriately.

Written by the Huron Consulting Group, a team of clinical research compliance experts, The Healthcare Compliance Professional's Guide to Clinical Trials will help ensure that your facility minimizes its compliance risk in the important research that it conducts. With this book, you can:

• Customize forms to conduct a Medicare Coverage Analysis
• Develop your own review plan based on proven sample auditing and monitoring templates
• Analyze recent changes to the National Coverage Determination
• Apply concepts from real-life clinical trial situations to your compliance program
• Coordinate research and revenue teams

The sample materials in this guide can be used right away.

Download them from the companion CD-ROM and customize each document to fit your specific needs. It's that easy to develop a plan to ensure that your clinical trial research conforms to CMS regulations and that you receive the proper reimbursement.

The major topics covered in The Healthcare Compliance Professional's Guide to Clinical Trials include:

• Institutional Review Boards
• Medicare Coverage Analysis
• National Coverage Determinations
• Qualifying clinical trials
• Reasonable and necessary services
• Self-disclosure
• Seven desirable characteristics of a clinical trial

About the Authors:

This book has been authored by members of the leadership team comprising Huron Consulting Group's Clinical Research Solutions & Healthcare Compliance (CRSHC) Practice. Huron's CRSHC professionals specialize in clinical research operations and compliance projects, including clinical research billing issues. F. Lisa Murtha, JD, CHC leads Huron's CRSHC national practice. Huron is a full-service consulting firm which has a substantial healthcare practice covering all aspects of healthcare operations and compliance consulting.

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