Your Clinical Trials Billing Compliance Partner-Efficient Compliance Monitoring

Example

Advising on the coverage of routine costs in clinical trials by Medicare as per NCD 310.1, ensuring that claims for covered services, such as ambulance services, durable medical equipment, and diagnostic laboratory tests, are appropriately filed.

Scenario

A research institution planning to conduct a clinical trial can use this guidance to determine which costs will be covered by Medicare, thereby ensuring proper billing practices and compliance.

Example

Providing detailed insights into the Federal Sentencing Guidelines and the False Claims Act, aiding in understanding the legal implications of fraudulent billing and the importance of establishing effective compliance programs.

Scenario

A healthcare provider involved in clinical trials can use this function to train their billing staff on the legal consequences of non-compliance and fraudulent billing, fostering a culture of compliance.

Example

Offering guidelines based on the HHS OIG Seven Elements of an Effective Compliance Program, helping organizations to develop and implement robust compliance programs tailored to clinical trial billing.

Scenario

A clinical trial sponsor can leverage this function to review and enhance their existing compliance programs, ensuring they meet regulatory requirements and mitigate risks associated with billing for clinical trial services.