This is a tough issue. If anyone has a solution, I'd like to know as well.
We currently put a "hold" on all charges when a patient is enrolled in a
study. All charges effectively accrue to a dummy account which is reviewed
by the research nurse or project personnel monthly. All standard of care
charges are backed out to the client account and the research charges are
transferred to the appropriate cost center. We do have a standard of care
charge code and a research charge code for each charge which does help. This
is a very labor intensive process and is prone to a certain amount of error.
We have some checks in place and our process has improved greatly over the
last couple of years. We're always looking for a better way.

Another solution is to require that all charges on a research study be paid
by the sponsor, but as you know, sponsors don't get overly excited when this
approach is used...Bill

Bill Caskey, PhD
Director, Research & Grants Administration
Children's Mercy Hospital
2401 Gillham Road
Kansas City, MO  64108

Voice:(816) 234-3879
FAX:(816) 855-1982
E-mail:  xxxxxx@cmh.edu <mailto:xxxxxx@cmh.edu>

This communication is intended only for the use of the addressee.  It
may contain information which is privileged or confidential under
applicable law.  If you are not the intended recipient or the agent of
the recipient, you are hereby notified that any dissemination, copy or
disclosure of this communication is strictly prohibited. If you have
received this communication in error, please immediately notify The
Children's Mercy Hospital at 816-234-3879 or via return Internet
electronic mail at xxxxxx@cmh.edu <mailto:xxxxxx@cmh.edu>  and expunge
this communication without making any copies.  Thank you for your
cooperation.

-----Original Message-----
From: Barbara L. Pifel [mailto:xxxxxx@MED.CORNELL.EDU]
Sent: Thursday, April 26, 2001 4:44 PM
To: xxxxxx@HRINET.ORG
Subject: [RESADM-L] Who pays for Clinical Trials

Would anyone care to discuss possible methods to avoid duplicate
billing for items or services provided as "routine care" to patents
who are admitted to a hospital and who are also a participant of a
clinical trial.

If anyone would like to discuss this issue in confidence, please feel
free to contact me directly.

Barbara
Barbara Pifel
Senior Director
Grants and Contracts
Rm: A131
Telephone: (212) 746-6020 6-6058
Fax:       (212) 746-6938

======================================================================
 Instructions on how to use the RESADM-L Mailing List, including
 subscription information and a web-searchable archive, are available
 via our web site at http://www.hrinet.org (click on "Listserv Lists")
======================================================================

======================================================================
 Instructions on how to use the RESADM-L Mailing List, including
 subscription information and a web-searchable archive, are available
 via our web site at http://www.hrinet.org (click on "Listserv Lists")
======================================================================