It is the evaluation of a clinical research study to assist with budgeting process, as well as with the billing process. The evaluation entails reviewing various study documents to determine whether or not the study qualifies for Medicare billing.
It is a process that enables the research site, be it a university, hospital or an academic medical system, to determine which elements of the research study they can bill. A coverage analysis does two main things for a research site:
First, it helps them with their research finances to make sure that they are covering all the costs of conducting a clinical trial. Second, it makes sure they are compliantly billing the government and other third-party payers for services provided to research subjects.