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Protocol Billing Grids (PBG) and Medicare Coverage Analysis (MCA) is a Course

Protocol Billing Grids (PBG) and Medicare Coverage Analysis (MCA)



Full course description

THIS LISTING IS THE TBA SESSION OF THIS CLASS. To be notified when a session of this class is scheduled, or if you cannot attend the already scheduled course, please enroll in this class.

Designed for clinical research personnel conducting financial feasibility of a study, this class will describe the purpose of a consistent billing plan and study procedure analysis. The Protocol Billing Grid (PBG) will be explained and related to proper Medicare Coverage Analysis (MCA). Definitions of relevant terms and descriptions will be provided including "billable" / "non-billable" items, Standard of Care (SOC), "research only", research team effort, diagnosis code, and frequency and length of service (LOS). The relationship of PBGs and MCA to federal regulation, institutional policy, and study audits will be discussed.

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