Awareness : OBC Tips

Medicare Coverage Analysis

CMS Clinical Trials Policy allows for payment of routine services provided as part of a clinical trial.  It allows Medicare patients to participate in clinical trials.  Due to fraud and abuse concerns, it is vital that a Medicare Coverage Analysis (MCA) is performed prior to commencing a clinical trial.  An MCA helps distinguish between the items and services which are allowed to be billed to Medicare (or any other insurance), based on national and local coverage determinations.