develop an action plan for your clinical trial become

Chris Longspaugh, Pharm.D.KELLY WILLENBERG & ASSOCIATES

CLINICAL TRIAL BILLING COMPLIANCE BOOT CAMP

Become Clinical Trial Billing Proficient at the Only Hands-On Workshop to Guide You Through Your Billing Compliance Challenges

DEVELOP AN ACTION PLAN FOR YOUR CLINICAL TRIAL BILLING COMPLIANCE ISSUES

October 23–25, 2019 Embassy Suites Hotel LAX South / El Segundo, CA

Receive expert training by an all-clinical team to better understand the clinical trial policy and billing process d Learn the skills to perform a coverage analysis with

clinical expertsd Apply the essentials for determining the “qualifying”

status of a clinical trial and why it is importantd Describe CMS rules, statutes, regulations, manuals,

transmittals, and guidelinesd Participate in team exercises to better understand the

process of determining routine costs within guidelines, NCDs, and LCDs

d Critique your knowledge of the billing and coding fundamentals of research

d Understand how to ensure that the consent form language matches the coverage analysis

d Apply effective contract language congruent to a billing plan

d Critique a claim review process and understand how coding relates to a coverage analysis

Kelly Willenberg, DBA, RN, CHRC, CCRP, CHC PresidentKELLY WILLENBERG & ASSOCIATES

BOOT CAMP LEADER

PARTICIPATING FACULTY*

Spon

sor:

CCB CEU AvailablePlus! Certification of Coverage Analysis Competency

LEARN THE BASICS OF PERFORMING A COVERAGE ANALYSIS BY AN ALL-CLINICAL

TEAM WHO DOES COVERAGE ANALYSIS AND KNOWS THE RULES!

To Register, Call 201 871 0474 or Click Here

https://fs7.formsite.com/04QYYT/vxow42qbfi/index.html


d Clinical Trial Billing

d Clinical Research

d Operations

d Contracts and Budgeting

d Research Compliance

d Clinical Trial Management

d Clinical Finance

THIS BOOT CAMPis designed for professionals from pharmaceutical organizations, hospitals, academic hospitals, and physician-based practices involved in clinical trial research with responsibilities in the following areas:

2019 DATES AND LOCATIONS

October 23—25, 2019 Embassy Suites Hotel LAX South El Segundo, CA

Dear Colleague,Join us at the only Boot Camp in the country produced by clinical professionals who know the guidelines against the various diseases that are present in coverage analysis. Attending this Boot Camp will provide you with the tools and knowledge that you need to justify the reasons why you choose an item as a routine cost.

Our program is based on the Clinical Trial Policy, the Device rules, and best practices in performing a coverage analysis. Build a strong repertoire to know the true cost of a clinical trial against a correctly developed coverage analysis. You will have the opportunity to bring study materials with you, so you leave the Boot Camp with the beginning of a coverage analysis.

Meet others in an open learning environment to give you a new network to tap into! You will learn the essential elements of “qualifying,” routine costs, and the financial documentation consistency to make your clinical trial billing program more robust!

At this event, you will learn how to:

d Apply correct contract language that matches consent and coverage analysis

d Analyze your coverage analysis process against a potential billing/claim audit

d Understand how a coverage analysis drives the coding required per government and some commercial payers

d Receive a certification of coverage analysis competency upon completion of the Boot Camp

I hope you will attend one of our Boot Camps this year. You will learn more about the coverage analysis billing process than what can be described in a brochure, and I know you would benefit from attending!

Sincerely,

Kel ly Wil lenberg Kelly Willenberg, DBA, RN, CHRC, CCRP, CHC President KELLY WILLENBERG & ASSOCIATES

Bring a pending protocol, draft budget and contract, and draft ICF to class to work on while you are here!

CCB CONTINUING EDUCATION CREDITS AND AAPC CEUs

The Compliance Certification Board (CCB)® has approved this event for up to 18.6 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor. A one-hour session translates into 1.2 CCB CEUs for CHC, CHRC, CHPC and CCEP.

The application for continuing education units (CEUs) for the Con-ference has been submitted to the APPC. Please check exlevents. com/bootcamps for more information.

APPROVED FOR

CCB CEUS

18.6



1:00 WELCOME AND OPENING REMARKS

1:15 BILLING COMPLIANCE BASICS ( Take in a bird’s eye view of compliant clinical research billing

S Understand the rules that apply to billing compliantly S Know the risks of improper billing or processing claims S Examine critical areas of the clinical trial policies

( Discuss compliance versus noncompliance S Analyze the benefits that come with compliant clinical research

billing and the consequences of noncompliance S Review examples of noncompliance and payback S Understand the role of the False Claims Act in compliance

( Walk through the most important billing compliance terms S Study the definitions for laws, regulations, guidelines and local rules,

and how they apply to billing compliance ( Examine qualifying status essentials

S Navigate the essentials for determining the qualifying status of a clinical trial

S Define the terms of qualifying steps to establish whether the trial qualifies

( Benchmark routine cost essentials S Learn how to determine routine costs S Establish what the terms “conventional care” and “standard of care”

mean S Bring your own protocol, budget, consent, and contract for a hands-

on activity so you have something to take home with you!

3:00 NETWORKING BREAK

3:30 LIVE DEMONSTRATION: BUILDING A COVERAGE ANALYSIS BUILDING A COVERAGE ANALYSIS AND THE PROCESS STARTING OUT

S Establish QCT analysis S Verify routine costs S Set research-related items as not billable S Learn how to find guidelines, NCDs, LCDs, CPT codes and other

support tools S Understand side effect/complications of drug or devices S Discuss drug coverage and off-label use and compendia

5:15 END OF DAY ONE

AGENDA DAY ONE

8:00 GROUP ACTIVITY: FIND LCDS, NCDS, AND GUIDELINES EVALUATE ROUTINE COSTS

( Work with your small group to determine qualifying status and routine costs

8:45 GROUP ACTIVITY: DRUG/DEVICE SIDE EFFECTS AND COMPLICATIONS

( Bring your own protocol, budget, consent, and contract for a hands-on activity so you have something to take home with you!

9:30 ACTIVITY RECAP ( Participate in a discussion with all Boot Camp attendees regarding the

findings from small group activities


10:15 GET QUESTIONS ANSWERED ABOUT BUILDING A COVERAGE ANALYSIS

( Evaluate the activities of the previous session and your own coverage analysis

( Demonstration of exercises with answers to the tough questions with real scenarios

12:00 WORKING LUNCH

1:00 INTERACTIVE EXERCISES ( Ask your questions ( Get some answers


3:15 MEDICARE COVERAGE ANALYSIS DISCUSSION ( Review coverage analysis ( Discuss scenarios ( Highlight terminology tips

4:00 FROM DRAFT TO FINAL ( Implement an optimal process at your institution ( Learn what you need to continue building your own coverage analysis

(homework for day three)

5:15 END OF DAY TWO

8:00 COVERAGE ANALYSIS WORKSHOP ( Gain information from a demonstration covering all stages of coverage

analysis ( Go over homework with trainers, who will answer your questions


10:30 BUDGET, CONSENT, AND CONTRACT ( Delve into the impact of the coverage analysis process ( Recognize the importance of a consistent and transparent research pricing

methodology ( Navigate conditional payment clauses ( Break down Medicare Secondary payer language

12:00 LUNCH

1:00 TAKE YOUR COVERAGE ANALYSIS TO THE NEXT LEVEL ( Review codes and modifiers, NCT numbers, revenue codes and IDE

numbers ( Evaluate the impact of medical record use in coding against a coverage

analysis ( Participate in coding exercises with other attendees

1:45 WRAP END DISCUSSION ( Close discussion on the outstanding issues of the Boot Camp ( Identify takeaways and process improvement

2:30 CLOSE OF BOOT CAMP

AGENDA DAY TWO

AGENDA DAY THREE



TERMS AND CONDITIONS: By registering for an ExL Events (“ExL”) event, you agree to the following set of terms and conditions listed below:

REGISTRATION FEE: The fee includes the conference‚ all program materials‚ and designated continental breakfasts‚ lunches and refreshments.

PAYMENT: Make checks payable to ExL Events and write BBC on your check. You may also use Visa, MasterCard, Discover or American Express. Payments must be received in full by the conference date. Any discount applied cannot be combined with any other offer and must be paid in full at the time of order. Parties must be employed by the same organization and register simultaneously to realize group discount pricing options.

**Please Note: There will be an administrative charge of $300 to substitute, exchange and/or replace attendance badges with a colleague within five business days of any ExL conference.**

CANCELLATION AND REFUND POLICY: If you cancel your registration for an upcoming ExL event, the following policies apply, derived from the Start Date of the event:

• Four weeks or more: A full refund (minus a $295 processing fee) or a voucher to another ExL event valid for 12 months from the voucher issue date.

• Less than four weeks: A voucher to another ExL event valid for 12 months from the voucher issue date.

• Five days or less: A voucher (minus a $395 processing and documentation fee) to another ExL event valid for 12 months from the voucher issue date.

CREDIT VOUCHERS: Credit vouchers are valid for 12 months from date of issue. Credit vouchers are valid toward one (1) ExL event of equal or lesser value. If the full amount of said voucher is not used at time of registration, any remaining balance is not applicable now or in the future. Once a credit voucher has been applied toward a future event, changes cannot be made. In the event of cancellation on the attendees’ behalf, the credit voucher will no longer be valid.

ExL Events does not and is not obligated to provide a credit voucher to registered attendee(s) who do not attend the event they registered for unless written notice of intent to cancel is received and confirmed prior to the commencement of the event.

SUBSTITUTION CHARGES: There will be an administrative charge of $300 to substitute, exchange and/or replace attendee badges with a colleague occurring within five business days of the conference.

ExL Events reserves the right to cancel any conference it deems necessary and will not be responsible for airfare‚ hotel or any other expenses incurred by registrants.

ExL Events’ liability is limited to the conference registration fee in the event of a cancellation and does not include changes in program date‚ content‚ speakers and/or venue.

*The opinions of ExL’s conference speakers do not necessarily reflect those of the companies they represent, nor ExL Events.

Please Note: Speakers and agenda are subject to change without notice. In the event of a speaker cancellation, significant effort to find a suitable replacement will be made. The content in ExL slide presentations, including news, data, advertisements and other information, is provided by ExL’s designated speakers and is designed for informational purposes for its attendees. It is NOT INTENDED for purposes of copywriting or redistribution to other outlets without the express written permission of ExL’s designated speaking parties. Neither ExL nor its content providers and/or speakers and attendees shall be liable for any errors, inaccuracies or delays in content, or for any actions taken in reliance thereon. EXL EVENTS EXPRESSLY DISCLAIMS ALL WARRANTIES, EXPRESSED OR IMPLIED, AS TO THE ACCURACY OF ANY CONTENT PROVIDED, OR AS TO THE FITNESS OF THE INFORMATION FOR ANY PURPOSE. Although ExL makes reasonable efforts to obtain reliable content from third parties, ExL does not guarantee the accuracy of, or endorse the views or opinions given by any third-party content provider. ExL presentations may point to other websites that may be of interest to you, however ExL does not endorse or take responsibility for the content on such other sites.

GROUP DISCOUNT PROGRAMOffers may not be combined. Early Bird rates do not apply. To find out more on how you can take advantage of these group discounts, please call 201 871 0474.

PER PERSON WHEN REGISTERING FOUR For every three simultaneous registrations from your company, you will receive a fourth

complimentary registration to the program (must register four at one time). This is a

savings of 25% per person.

PER PERSON WHEN REGISTERING THREE Can only send three? You can still save 15% off of every registration.

SAVE 25%

SAVE 15%

MED

IA P

ARTN

ERS

PRICING FOR EXL’S CLINICAL TRIAL BILLING COMPLIANCE BOOT CAMP

ACADEMIC/NONPROFIT/GOVERNMENT RATE: $1,695

CORPORATE RATE: $2,095


To Register, Click Here, or

MailPMA Conference Management PO Box 2303Falls Church VA 22042Tel. 201 871 0474Fax 253 663 [email protected]




develop an action plan for your clinical trial become

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