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Protocol Billing Grids (PBG) and Medicare Coverage Analysis (MCA) - 11/4/2021 is a Course

Protocol Billing Grids (PBG) and Medicare Coverage Analysis (MCA) - 11/4/2021

Starts Nov 4, 2021

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Full course description

LIVE SESSION: Thursday, November 4, 2021 @2:00pm - 3:00pm, Zoom

REd Synchronous classes are taught by subject matter experts, and provide both fundamental and advanced skills training in flipped classroom format. These classes are offered live (currently, via Zoom), wherein participants will attend and participate in the 1-hour live lecture/presentation. Participants will be required to work pre-class and post-class activities outside the classroom. These activities can include: readings, videos, etc.

Class Description: 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.

 

 

Objectives: At the conclusion of this class, you should be able to:

  • Discuss the Federal laws and regulations that govern research billing
  • Explain how research billing compliance protects our institution and our patients
  • Discuss items and services can and should be billed to insurance during a clinical trial
  • Articulate where to find University resources that can help with coverage analysis

Class Duration: Total duration for synchronous classes are approximately 2 hours. Those two (2) hours will be broken down into:

  • A live session which will take approximately 1 hour (45-minute presentation and 15-minute Q&A) and;
  • Pre and Post-work activities which will take approximately 1 hour, in total.

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