Ensuring Compliant Revenue for Clinical Research Studies: How to Know What You Can Bill


The added revenue your practice generates from clinical trials is at serious risk. Practice-based clinical trial billing .

Enforcement of clinical trial billing violations and their resultant penalties is escalating. This is not surprising considering the complexity of these billing requirements and the fact that not all “normally” billable services can be billed as part of your clinical trial.

And, you don’t have to intentionally bill incorrectly to be found guilty and fined for violating the False Claims Act. Even innocent mistakes can result in significant legal costs and penalties.

There is help available. Clinical research billing compliance expert, Sarah Couture, RN, CHC, CHRC, is presenting an online training.  During her training, Sarah will break down clinical trial billing requirements, and walk you through what you can do to avoid being hit with significant violation penalties for incorrectly billing for these services.

Here are just a few of the practice-based clinical trial billing compliance strategies you’ll learn when you attend this expert-led 90-minute online training:

  • Get reimbursed for all possible services, without overstepping allowed billing services
  • Improve routine cost reimbursement by better determining if your trial is considered “qualifying”
  • Boost clinical trials revenue by improving NCD 310.1 usage accuracy
  • Utilize a coverage analysis to increase billing accuracy for clinical trial-related items and services
  • Avoid common compliance traps by using real-life enforcement examples
  • Discover the biggest barriers to compliant clinical trials billing—and how to fix them
  • Develop a compliant practice-based clinical trial billing plan that your entire team can use
  • Cut down on claim denials due to Medicare billing rationale versus clinical decision making
  • And much more!

WARNING:  Most clinical trial billing violation penalties result from a simple lack of awareness regarding Medicare rules and requirements. “I didn’t know” is not considered an adequate defense should you be found guilty of fraudulently billing for your practice-based clinical trial services. Don’t file another clinical trial services’ claim without attending this training.

Improper billing for your practice-based clinical trials presents significant False Claims Act risk to your practice. Not to mention that it just takes one of your staff to identify an error and blow the whistle on you to start the audit process.  Whistleblowers have a financial incentive to do so.

This 90-minute, comprehensive online training can help you ensure you bill your practice-based clinical trial services correctly the first time and help prevent the chance of being audited and fined. Practice-based clinical trial billing .

Don’t wait—sign up for this must-attend online training today! Practice-based clinical trial billing .

Meet Your Expert

Sarah Couture
RN, CHC, CHRC Managing Director at Ankura Consulting

Sarah is currently the Managing Director at Ankura Consulting. She is an experienced compliance professional with deep knowledge that spans a wide array of healthcare settings. One of Sarah’s areas of expertise is in clinical research billing. She has performed hundreds of coverage analyses for a variety of academic medical, regional hospital, and physician practice organizations. She is also a clinical research billing educator and has trained numerous clients and colleagues in clinical research billing best practices and coverage analysis.

Sarah is a regular speaker at regional and national compliance events and serves as faculty for the HCCA Compliance Essentials Workshops. She also serves as the Editor for the Ankura Compliance Round Up, a monthly regulatory webinar.

Sarah holds CHC and CHRC certifications and has been a registered nurse for 20 years. Her clinical experience spans both children and adults in multiple practice settings, including Skilled Nursing Facility, Federally Qualified Health Center and free clinic, outpatient primary care, and inpatient hospital.