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November 15, 2007

Coping With The CMS Billing Rules for Clinical Research

CMS issued modified guidance in July, 2007 for reimbursement for clinical research under Medicare that creates new opportunities, but also requires researchers to a fresh look at how they should design their studies and how they should draft their protocols. The Clinical Research Policy attempted to expand coverage for Medicare beneficiaries but it has also created some potentially gray areas as well. Billing for clinical trial services continues to be fraught with substantial confusion and risk for any organization conducting clinical research. This is particularly true in the wake of CMS's formal decision on Oct. 17 to not issue further changes. To help healthcare researchers understand and take advantage of the new policy, Drug & Biologic Guidance Watch and Health Information Privacy/Security Alert are sponsoring a 90-minute audio seminar:

Coping With The CMS Billing Rules for Clinical Research

Participants are briefed on:

• The scope of clinical trials covered under the policy;
• The definition of "routine cost" and "usual patient care";
• The extent to which Medicare will go in paying for investigational clinical services;
• The extent to which Medicare will pay for research services under its Coverage with Evidence Development (CED) policies;
• Procedures to consider to avoid misbilling;
• and much more.

Who Should Listen

The Faculty

Ryan Meade, Esq., is a partner in Meade & Roach, LLP and represented Rush as the attorney who negotiated its settlement with the Department of Justice and HHS Office of Inspector General. His practice focuses on Medicare/Medicaid billing compliance and clinical trial research compliance.

Lisa Murtha, Esq.,is a Managing Director for Huron Consulting Group based in New York and Philadelphia. Her practice focuses on clinical research, revenue cycle work, billing and coding issues, internal investigations, corporate governance/ethics, and HIPAA work. She previously served as a Principal in the Philadelphia office of Parente Randolph, LLC where she led the national healthcare compliance practice. She also served as the Vice President of Audit, Compliance for The Children's Hospital of Philadelphia.

Continuing Education Credits

• All seminar participants will receive a certificate of participation

CD Ordering

The CD recording with all course materials are excellent educational and briefing resources: $270

Download the form at http://www.melamedia.com/11.15.07.Order.Form.pdf and fax it to 703.619.4912