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医疗保险覆盖范围分析:避免合规陷阱。

Medicare coverage analysis: avoiding compliance pitfalls.

作者信息

Morillo Alex

机构信息

Biomedical Research Alliance of New York, Lake Success, NY, USA.

出版信息

Healthc Financ Manage. 2012 Mar;66(3):52-4, 56.

Abstract

Healthcare finance leaders should take the following steps to ensure the eligibility of a clinical study for Medicare coverage: Centralize the process of collecting and archiving all relative components, such as protocol, consent, sponsor budgets, and contracts. Establish a standard operating process from the time a provider sees a patient to how the service is documented and communicated to payers. Provide ongoing education to staff and research personnel to mitigate the risk of mistakes.

摘要

医疗保健财务负责人应采取以下步骤,以确保临床研究符合医疗保险覆盖范围的资格:集中收集和存档所有相关组件的流程,如方案、同意书、赞助商预算和合同。建立一个从提供者接诊患者到服务如何记录并传达给付款人的标准操作流程。为员工和研究人员提供持续教育,以降低出错风险。

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