To provide comprehensive coverage analysis and budgeting services for researchers and administrators to enhance their ability to achieve excellence in clinical research while adhering to Univerisity, Federal, and State guidelines to ensure billing compliance.
WHAT IS A COVERAGE ANALYSIS
As coverage analysis (CA) is a schedule of events, created to identify every item and service in a clinical research study to determine the financial accountability for each item or service. For example, services may be billed to the trial sponsor, study grant, third party payor such as Medicare or private insurance, or other funding source. All studies involving human research subjects require a review for coverage analysis, even if they are fully research-funded. There are some scenarios where a CA is not required, such as studies reviewing medical charts.
HOW TO INITIATE A COVERAGE ANALYSIS AND WHO COMPLETES THE REVIEW
A project submission to the Human Research Protection Program (HRPP) triggers a notification to OCAA for coverage analysis review. OCAA is comprised of a team of analysts that specialize in healthcare policy and finance. The OCAA team works closely together with the Principal Investigators (PI's) and their study teams to review and finalize the coverage analysis.
BENEFITS OF THE COVERAGE ANALYSIS
A coverage analysis ensures compliant clinical research billing, prevents billing errors, and may be used as a tool to estimate costs and negotiate study budgets.
OCAA has an alias e-mail address to ensure a better response and catalog all OCAA activity in a timely manner.
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