Introduction to Medicare Coverage Analysis - Impact on Revenue Cycle

Why Should You Attend:

This session is relevant for all professionals participating in clinical research activities. It is relevant for professionals managing a clinical trial as well as those managing patients participating in a clinical trial. The Medicare Care Coverage Analysis (MCA) is the beginning of the financial process of a clinical research study. The MCA is the key to a compliant clinical research billing program. The document is utilized for the following purposes:

1. Developing the budget associated with a clinical trial.
2. Developing billing grids in an electronic medical record to drive clinical research billing.
3. Managing study participants activity associated with a clinical trial.
4. Tracking the milestones associated with the clinical trial budget.
5. Managing the sponsor invoicing process associate with a clinical trial.

In this course, you will understand how to utilize the MCA in the financial consultation process when a patient is considering participating in a clinical research study. It will aid revenue cycle personnel with enhancing the pre-authorization process and ensure an understanding the appropriate coverage for tests/procedures included in the clinical research study.

The understanding of the MCA, its usage and impact on the revenue cycle is vital to aiding professionals perform the task of managing a clinical trial as well as the study participants.

Areas Covered in the Webinar:

• History of Medicare Coverage Analysis (MCA)
• Purpose of MCA
• The uses of the MCA
• Creation of MCA
• Regulations supporting MCA
• Revisions to MCA
• Overview of the revenue cycle
• Overview of clinical research billing
• Creation of compliant clinical research billing program

Who Will Benefit:

• Clinical Research Coordinators
• Clinical Trial Managers
• Clinical Research Associates
• Clinical Research Managers/Directors
• Administrative Directors
• Financial Analysts

From:

• Academic Medical Centers, Academic Universities involved in clinical research, community based hospitals

Free Materials:

• Reference documents
• Rule documents or guidance
• Checklist
• MCA template
• Articles

Mary Veazie
Executive Director, Clinical Research Finance

Mary Veazie is a Certified Public Accountant with over 15 years of experience in clinical research finance. Collectively, she has over 25 years of financial and auditing experience. She developed and directed a clinical research finance office for a large academic medical center. She is certified in Healthcare Research Compliance and Healthcare Compliance. Ms. Veazie’s skill set includes full comprehension of the clinical research billing process and its impact on an organization’s clinic operations and revenue cycle.

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