The Challenge
Billing Errors in Clinical Trial Accounts Are Common and Costly
Research billing involves complex rules, payer policies, and sponsor requirements. Most clinical trial visits include a mix of standard-of-care and protocol-driven services – but confusion around who pays for what leads to missed charges, payer denials, and compliance risks.
Hospitals often face:
- Revenue leakage from unbilled or misbilled research visits
- Back-end denials due to improper payer assignment
- Confusion between routine care and study-related services
- Limited internal expertise on CMS clinical trial billing rules
- Risk of audit exposure and noncompliant workflows
OUR SOLUTION
Audit and Improve Research Billing Integrity
HIP’s Nurse Auditors are subject matter experts in clinical trial billing, ensuring that every study-related visit is reviewed with precision. We verify that each charge is billed to the correct payer—whether sponsor, third-party insurer, or patient—in alignment with protocol requirements, coverage analysis, and documentation standards. Our process safeguards compliance while optimizing billing accuracy and efficiency.
What we provide:
- Comprehensive review of clinical trial billing workflows
- Account-level audits to validate payer assignment
- Evaluation of CTMS and EHR interface billing handoffs
- Detailed findings reports with revenue recovery opportunities
- Training for billing, research, and revenue integrity teams
Why Choose HIP for Clinical Research Billing Support
Expert-led audit and advisory services to reduce loss, prevent denials, and strengthen your research billing integrity.
100% U.S. Based
No offshoring. All staff reside and work in the U.S.
AHIMA/AAPC
Every coder holds active credentials.
Proven Professionals
10 years of experience on average
Rapid Deployment
Get support mobilized in days, not weeks.
No Contracts
Flexible engagements with no minimum volume.
Monthly QA Reviews
Ongoing audits for accuracy and compliance.
Strict Vetting
Drug tests, credential verification, etc.
Direct Oversight
Projects led by experienced managers, not freelancers.
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