At 12:23 PM 4/28/01 -0500, you wrote: >Thanks. I forwarded a copy of your response to my clinical trials people. >I'm assuming you're still using MediTech as your main billing/HIS system so >what you do may be directly applicable to us. We are in the process of >integrating our invoicing/billing for all research cost centers with our >ecGrant software using the SQL data respository of MediTech. Hope to have >that up and running by Fall...Bill > >-----Original Message----- >From: Higginson, David A [mailto:xxxxxx@ARCHILDRENS.ORG] >Sent: Friday, April 27, 2001 5:54 PM >To: xxxxxx@HRINET.ORG >Subject: Re: [RESADM-L] Who pays for Clinical Trials > > >Bill, > >We (like so many it seems) had just the same problems at Arkansas Children's >Hospital. We have now developed, implemented and are live with a web based >system that has so far achieved 100% accuracy with clinical trial billing. >It took us a while to get there, but we did it by developing a web based >system where study coordinators enroll and schedule visits (and the >procedures to be performed) and then follow up after the visit to 'finalize' >the procedures performed. Once this happens we have a 'back end' process >that checks what was entered into our main billing/HIS system against what >was finalized in the web system, any differences being reported out and >fixed on the billing system. As I said, we have run many different types of >clinical trials (inpatient, outpatient, observation etc..) and have so far >eradicated any initial billing errors. > >However, we didn't get to this point overnight. While the new system was >critical so that we had an independently, PI/Coordinator record of what >should be billed, we also had to evaluate and re-engineer our existing >people systems so that all could work together. That involved many different >(and generally small) changes in process in departments like Cost >Accounting, IT, Billing, Admissions, Accounting, ORA etc. but was achievable >once we got everyone talking. > >Now we are able to offer a few additional services with the system such as >tracking reports on the trial (# of patients enrolled, protocol due date >reminders etc.) and web creation and routing of study reimbursement. All of >which provide the PI and staff extra incentive to use the system. > >Obviously there is a lot more detail here as to how it all works, but wanted >to let you know the basics let you all know that this problem can be fixed. > >-David >David A Higginson, ACMA >Vice President for Information Systems >Arkansas Children's Hospital >1120 Marshall Street >Little Rock, AR 72202 >(501) 320-3757 >xxxxxx@archildrens.org > > Learn more about us at: <http://www.archildrens.org/> > > >-----Original Message----- >From: Caskey, William PhD. [mailto:xxxxxx@CMH.EDU] >Sent: Thursday, April 26, 2001 5:18 PM >To: xxxxxx@HRINET.ORG >Subject: Re: [RESADM-L] Who pays for Clinical Trials > > >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") >====================================================================== > > >====================================================================== > 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") >====================================================================== I will be out of the office until Thursday morning, May 3, 2001. I'll read your mail when I return. If you need immediate help from VCU's Office of Sponsored Programs, e-mail the Office at xxxxxx@vcu.edu or telephone 828-6772 and a staff member will assist you. Chuck Herbert B. Chermside, CRA Director, Sponsored Programs Administration Virginia Commonwealth University PO BOX 980568 Richmond, VA 23298-0568 Express Delivery Only: Sanger Hall, Rm. 1-073 11th & Marshall Streets Richmond, VA 23219 Voice: 804-828-6772 Fax 804-828-2521 OFFICE e-mail xxxxxx@VCU.EDU Personal e-mail xxxxxx@vcu.edu http://views.vcu.edu/ospa/ ====================================================================== 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") ======================================================================
