Quote from brad on May 6, 2022, 1:16 am

Quote from Guest on May 6, 2022, 1:07 am

Compliant billing best-practices (in the US) say:

No way, Monet!

Patient retention/engagement best-practices (on the planet of Earth) say:

Um, yeeeessss, of course.

What say you?

Can we bridge these troubled waters?

Elaborate

Quote from Guest on May 6, 2022, 2:10 am

We'll use the setting of a clinical practice, multiple physicians, participating in research.

Patient is enrolled in a study at that site. The patient's physician at this site is not the PI.

The patient has to schedule a follow-up with their doc and their study's next visit window lines up. Makes sense to try and do everything on the same day. But, if you do, you could get whacked for double-billing if a the study visit could code as an office visit.

Compliance says perform a coverage analysis on every study budget to help plan and avoid this pitfall. It's also easier at institutions to oversee an SOP that prohibits this, regardless if the study visit is billed to Medicare or not.

Quote from Guest on May 6, 2022, 2:31 am

We mark the pts chart a certain color to indicate they are in a research study so none of the clinic providers will mistakenly give them something that is prohibited per protocol and that way if they need to reschedule they are routed to research to ensure the visit is still in window. Basically clinic doesnt follow them while they are in a study.

Quote from brad on May 6, 2022, 3:04 am

Quote from Guest on May 6, 2022, 2:10 am

We'll use the setting of a clinical practice, multiple physicians, participating in research.

Patient is enrolled in a study at that site. The patient's physician at this site is not the PI.

The patient has to schedule a follow-up with their doc and their study's next visit window lines up. Makes sense to try and do everything on the same day. But, if you do, you could get whacked for double-billing if a the study visit could code as an office visit.

Compliance says perform a coverage analysis on every study budget to help plan and avoid this pitfall. It's also easier at institutions to oversee an SOP that prohibits this, regardless if the study visit is billed to Medicare or not.

I feel you. Like the poster below, we just keep research patients off clinic schedules or use a no charge visit.

Hasn't been too troublesome but the bigger the institution, the easier for things to get sideways I find.

Quote from Jeanette on May 7, 2022, 1:13 am

Quote from brad on May 6, 2022, 3:04 am

Quote from Guest on May 6, 2022, 2:10 am

We'll use the setting of a clinical practice, multiple physicians, participating in research.

Patient is enrolled in a study at that site. The patient's physician at this site is not the PI.

The patient has to schedule a follow-up with their doc and their study's next visit window lines up. Makes sense to try and do everything on the same day. But, if you do, you could get whacked for double-billing if a the study visit could code as an office visit.

Compliance says perform a coverage analysis on every study budget to help plan and avoid this pitfall. It's also easier at institutions to oversee an SOP that prohibits this, regardless if the study visit is billed to Medicare or not.

I feel you. Like the poster below, we just keep research patients off clinic schedules or use a no charge visit.

Hasn't been too troublesome but the bigger the institution, the easier for things to get sideways I find.

We have two separate EMRs in our practice; eCW for clinic and CRIO for research.  No billing mix-ups. No schedule mishaps. No need to color-code. We are also independent,  which means many of the billing regulations don't apply as they do with institutional sites. Hats off to those of you that do have to know all the HHS/OHRP compliance regulations as part of your every day workflow.