A National Coverage Decision (NCD) issued by Medicare in 2000 enabled coverage of “routine costs” of qualifying clinical trials, as well as the diagnosis and treatment of complications arising from participation in a clinical trial.
Since this NCD was issued, the Argenta team has amassed a great deal of experience establishing clinical trial reimbursement programs for drugs and biologics. In particular, we have worked extensively with Medicare contractors for routine care coverage and payment during clinical trials.
Our clinical trial reimbursement programs typically entail the following stages:
- Development and negotiation of reimbursement-focused trial budgets
- Clinical site training with regard to billing in the trial
- Coverage negotiation with the Medicare contractors (and private payers as appropriate)
- Assistance with appealing denials of pre-authorizations and/or claims
- Tracking of charge and cost data from the clinical sites to ensure that our clients have taken full advantage of the trial for future reimbursement needs
Call us at 866-434-6428 or email us to discuss how we can help you with your clinical trial reimbursement questions and needs.
