Clinical Research Billing Compliance
Johns Hopkins Medicine imparts a tripartite message in which education, research and clinical care are equally important and the cornerstone of everything we do. As such, the institution has created an infrastructure to support research in a way that minimizes risks to the participant, to the staff conducting research and to the enterprise.
“Effective for items and services furnished on or after July 9, 2007, Medicare covers the routine costs of qualifying clinical trials, as such costs are defined below, as well as reasonable and necessary items and services used to diagnose and treat complications arising from participation in all clinical trials.” (from http://www.cms.gov/medicare-coverage-database/details/ncddetails.aspx?NCDId=1&ncdver=2&fromdb=true)
This statement from Medicare’s Clinical Trial National Coverage Decision in conjunction with highly publicized Medicare settlements triggered the creation of a formal infrastructure to assure that Johns Hopkins Entities provide better support surrounding the clinical research revenue cycle.
The Office of Clinical Research Billing Compliance was created in February of 2007 to prospectively manage hospital and professional fee patient care charges for federally insured research participants through a pre-billing review process on behalf of Johns Hopkins Medicine (JHM). CRBC is primarily a billing compliance office.
CRBC strives to protect study participants from financial and physical harm, while alsoprotecting the Institution and research staff from any research billing compliance risks.
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Resources
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FAQs
Frequently asked questions related to research billing and revenue cycle
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Tip Sheets
Tip sheets about many aspects of the research revenue cycle
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Policies and Procedures
SOPs from the HPO website (need JHM log in)
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Regulations
Federal and State rules that regulate compliant billing
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Definitions
Definitions and acronyms related to clinical research billing
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Newsletter
Sign up to receive our quarterly newsletter and to view past issues
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Training
Information about training related to clinical research billing
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Research IT
The JHM has links to information about OnCore, eReg, and Epic
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