Billing

• National Coverage Determination (NCD) for Routine Costs in Clinical Trials (310.1) Pub 100-03 of the NCD Manual
• Medicare Benefit Policy Manual, Chapter 14 Medical Devices, §50 Coverage Requirements
• Category B investigational device exemptions (IDE) found in 42 CFR 405.201-405.215, 411.15, and 411.406. 

The Clinical Research Office (CRO) will help you with pricing for items and services that are included in the protocol. The researcher then incorporates these into the billing grid.

• Please contact the CRO for costs to be included in the budget. 
• You must complete a billing grid and coverage analysis for all studies involving clinical, billable procedures. 
  • You submit these documents to the CRO for approval.
  • Review available templates, forms and instructions.
• Email the completed forms to careview@buffalo.edu.

It may take a few days depending on the study, type of services needed and location. CPT codes are needed and will improve the turnaround time.