Clinical Services
Clinical research billing and coverage analysis support
Keep routine care and sponsor-paid services cleanly separated, so study claims bill correctly the first time and audits hold up.
How MedValue helps
Most research billing errors start before the first patient is enrolled. We build the coverage analysis and calendar logic that keeps every downstream claim defensible.
- Medicare coverage analysis against the protocol, qualifying-trial criteria and NCD 310.1
- Study calendar build mapping every procedure to routine care or sponsor invoice
- Charge review before claim release to catch study items billed to insurance
- Correct use of research modifiers, condition codes and clinical trial numbers
- Reconciliation of study receivables between payer payments and sponsor invoices
- Documented audit trail for monitors, sponsors and internal compliance review
The challenges we hear
These are the bottlenecks that quietly cost revenue. Our team removes them with a documented workflow, clear ownership and weekly reporting.
- Sponsor-paid procedures get billed to insurance by mistake
- Coverage analysis is done late, after enrollment has started
- Research modifiers and clinical trial numbers are applied inconsistently
- Study receivables sit unreconciled between payer and sponsor
- Audit requests take weeks to assemble evidence for
Compliance built in from the calendar
Coverage analysis and the study calendar drive the billing rules, so routine-care versus research-paid decisions are made once, documented, and applied consistently on every claim.
Evidence ready for any audit
Every decision is traceable to the protocol, the coverage analysis and the budget, so responding to a monitor, sponsor or payer audit is a retrieval task rather than a reconstruction project.
Related pages
Clinical Trials Services
Clinical data management, lab and study administration support for sites, sponsors and CROs.
ExploreHow It Works
Our onboarding, daily workflow and weekly reporting rhythm, step by step.
See the processGet a Quote
Tell us your specialty, size and volumes and we will build a custom estimate.
Request pricingClinical trial support
Scope the study support your programme needs
Share your organization type, active studies and where you need help. Our clinical trials team responds with a support plan covering data, lab and administrative work.
- Clinical data management, entry and quality review
- Bioanalytical lab and study administration support
- Flexible teams that scale study by study
- Confidentiality and documented quality controls
Prefer to talk first? Call 630-430-1040
Request clinical trial support
Share your study profile and we'll scope the data, lab and administrative support your programme needs.