Awareness : OBC Tips

Proper Claims for Clinical Trials

Avoid submitting improper claims related to clinical research by:

1. Pre-determining who is responsible for payment for item/service by performing a coverage analysis.

2. Identifying patients as research participants when scheduling research-related inpatient admissions, outpatient clinic visits, and office visits for treatment or evaluations.
3. Reviewing all study-related charge posting and claims to ensure services are billed to the proper payor.
4. Assuring the service has not been billed to or paid by both the study account and an insurance account.