Research Revenue Integrity

Study team:

• Associates research participants to Epic RSH record on the day of consent as enrolled or consented
• Selects Research Coordinator
• Enters study start date 
• Enters research comments in EPIC for ongoing study status
• Links Encounters and Research Orders to the RSH record
• Documents in Notes the necessary information supporting the research activity

EPIC:

• All enrolled patient accounts from the study start date are flagged as research
• Accounts fall in Clinical Trial Analysts’ review report

Clinical Trial Analyst:

• Reviews all accounts for all patients associated with RSH study
• Moves charges to research or to insurance based on final coverage analysis, internal budget, and research documentation or enrollment notes

*Participants and/or insurance are billed in the absence of study association

Resources

UMMS Research Revenue Integrity Policies & Tip Sheets

UMMS Research Billing Presentation