Billing compliance is an important factor when conducting clinical trials. Researchers and others involved in the process often struggle to achieve accuracy and clarity in billing. Even though the adoption of clinical trial management software has eased the overall process of conducting a clinical trial, it is important to understand the regulations and policies surrounding billing compliance.
Let’s have an in-depth look into clinical trial billing compliance to understand how claims can be appropriately attributed to the correct category.
Understanding Billing Compliance
Clinical trial billing is an essential aspect of the overall process. The compliance aspect ensures that charges related to therapies, treatments, and others in a clinical trial are attributed to the right party. The third party may be anyone and must be billed according to the prevailing federal and state laws. In a nutshell, clinical trial billing compliance ensures that you’re charging the expenses incurred to the right party involved in the whole clinical trial process.
The Need for Clinical Trial Billing Compliance
Clinical trial billing compliance has always been important for those involved. If there are any mishaps in the clinical trial billing process, the site may face financial penalties. It may trigger the False Claims Act at the federal level, which may cause further stress and repercussions to those involved in the clinical trial.
It is important to get the billing done right to ensure that the volunteers participating in the trial are at ease and can focus on the task. Your trial’s success depends on volunteers, and you need to create an environment where they can help your trial succeed. The last thing they’d want to see is an unforeseen and unexpected bill coming their way!
Practicing Compliance
In order to ensure the best billing practices, you need to understand the general rules that govern the billing aspect of ta clinical trial. You can educate yourself on the various rules surrounding the medical research billing topic and ensure that you implement them within your clinical trial setting.
Apart from Medicare, there are state-level medical rules you need to understand. For the most part, they reflect the general Medicare rules. However, it is beneficial to go over them in detail.
It is also essential to understand the unique needs of your participants. You need to distinguish whether they are coming in for a routine checkup in your clinic or are coming to participate in a clinical trial. Once you’ve established the purpose of a visit, you can bill the relevant third parties accordingly.
If you operate a clinical trial setting, you should consider automating the process to ensure clinical trial billing compliance. A quality, robust, and effective clinical trial management solution can help you fulfill compliance. If you’re on the lookout for one, then check out the products and services offered by ClinicalPURSUIT.
We have established ourselves as one of the best providers of quality CTMS solutions that’ll help you automate the processes, provide real-time reports, and help you collaborate with your peers.
We also offer various other services such as randomization and drug supply management, electronic patient-reported outcome software, etc. You can visit our website for more information or schedule a one-on-one free demo today!
