MCA Medicare Coverage Analysis

CTA Negotiations

CMS Reimbursement Approval

Billing Audit / CBO

Letter of Indemnification

Facility Use Agreement / Hospital Use Agreement (FUA/HUA)

NEWS

Mandatory Reporting of Clinical Trial Number on Claims


Are your clinical research sites ready? "Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims" begins effective January 1, 2014. See the attached MLN Matters article 8401 for further details... 

Are you concerned that your Medicare claims have been filed incorrectly? 

Da Vinci Research Solutions will perform coverage analyses, review claims, determine your financial risk, and provide process improvement recommendations so that you:

​      Adhere to CMS Rules.

​     Include NCT# on subject claims.

     Incorporate the proper use of research codes.​

​     Ensure compliant billing for device trials.  


Clinical trial billing is under more scrutiny.  Avoid potential fines for mis-billing and double billing claims for research patients. 


The Fraud Enforcement and Recovery Act of 2009 (FERA) gave federal government agencies more power and money to detect those who misuse federal grant monies and money obtained through federal programs such as Medicare and Medicaid.


The 2010 Patient Protection and Affordable Care Act (PPACA) dedicated approximately $1.5 billion for fighting health care fraud. 


​In 2011, the U.S. Department of Health and Human Services (HHS) recovered over $4 billion as a result of efforts to prevent fraud, waste, and abuse.


​Let DRS ensure your compliance. Contact us for more information.


Research Billing Audit