AGENDA

Receive expert training by an all-clinical team to better understand the clinical trial policy and billing process 

• Learn the skills to perform a coverage analysis with clinical experts
• Apply the essentials for determining the “qualifying” status of a clinical trial and why it is important
• Describe CMS rules, statutes, regulations, manuals, transmittals, and guidelines
• Participate in team exercises to better understand the process of determining routine costs within guidelines, NCDs, and LCDs
• Critique your knowledge of the billing and coding fundamentals of research
• Understand how to ensure that the consent form language matches the coverage analysis
• Apply effective contract language congruent to a billing plan
• Critique a claim review process and understand how coding relates to a coverage analysis