Clinical Research Billing Compliance

The Clinical Research Billing Compliance (CRBC) office, organized within the HRPP Compliance office, goals are to ensure clinical research billing compliance for the research community.  Some of the functions performed by the CRBC Office include the following:

  • Conduct the required prospective Coverage Analysis (CA) in accordance with the Centers for Medicare and Medicaid Services (CMS) National Coverage Determination 310.1
  • Identify applicable CPT/HCPCS codes for billable events for the clinical team to review
  • Review informed consent cost language to ensure consistency with other study documents
  • Review bills prior to billing the subjects insurance
  • Conduct post approval monitoring visits

 Contacts

 Please contact the HRPP Compliance Staff with any questions.

Compliance Office Process for Billing Coverage Analysis