A framework for workflow-based clinical research billing disambiguation.
Medicare received authorization in 2000 to reimburse for routine costs incurred in association with patients participating in clinical research. However, we hypothesize that the inability to accurately differentiate standard from investigational care has resulted in under-coding of potentially reimbursable clinical events. To address this problem, we have initiated the development of a methodology for constructing computational clinical workflow models that can be employed to aid in the disambiguation of routine versus research costs.
Payne
Philip R O
PR
The Ohio State University, Information Warehouse, Columbus, OH, USA.
Borlawsky
Tara
T
Kamal
Jyoti
J
Saltz
Joel H
JH
D035843:Biomedical Research / Q000191:economics / Q000458:organization & administration; D002986:Clinical Trials as Topic / Q000191:economics*; D006801:Humans; D007344:Insurance Claim Reporting; D007349:Insurance, Health, Reimbursement; D006278:Medicare / Q000191:economics*; D010865:Pilot Projects; D014481:United States