OFFICE OF RESEARCH AND DEVELOPMENT (ORD)
Office of Research and Development
Office of Research and Development
The Queen’s Medical Center
1301 Punchbowl Street, UHT 508
Honolulu, HI 96813
OFFICE OF RESEARCH AND DEVELOPMENT (ORD)
Office of Research and Development
Office of Research and Development
The Queen’s Medical Center
1301 Punchbowl Street, UHT 508
Honolulu, HI 96813
Medicare Coverage Analysis (MCA) or Coverage Analysis (CA) is a systematic review that determines how each protocol-required item/service should be billed: to the study participant/payor or to the research account. It requires a three-part process according to NCD 310.1 to determine:
MCA ensures clinical research billing compliance and protects both our institution and study participants from major consequences of improper billing. Examples of improperly billing a payor include:
Billing for items/services that are for research-purposes only
Billing for items/services that a`re already paid for by the Sponsor (double billing)
Billing for items/services promised free in the informed consent form (ICF)
Billing for items/services variably between study participants
Prior to submitting an MCA, please review the MCA Determination page.
When you are ready to submit a request for MCA, visit the MCA Submission page.