Awareness : OBC Tips

Tips To Avoid Clinical Research Billing Errors

Avoid Clinical Research Billing Errors

Tips to avoid clinical research billing errors for services related to Qualified Clinical Trials:

  1. Ensure every research-related encounter is scheduled/ registered as a research visit in the study.  This includes research-related “standard of care” visits.
  2. Do not bill insurance if:
    • The sponsor pays for the service.
    • The services are promised as free in the Informed Consent.
    • The services are for research purposes only.
  3. Only bill for services that have no external funding source and are medically necessary.

  4. Consider the need to seek pre-authorization from private insurers prior to beginning any protocol services, especially in investigational device trials.