Awareness : OBC Tips

What is a Coverage Analysis

What is a Coverage Analysis? A Coverage analysis is a tool that consists of two parts:

  1. Qualifying Clinical Trial (QCT) form, which is a series of questions that determine whether a study is deemed “qualifying” or “non-qualifying”, based upon CMS requirements for coverage.
  2. Billing Grid: spreadsheet mapping what clinical procedures could be billed to a third party (such as Medicare and insurance companies) and what procedures must be covered by the financial sponsor.