Coverage analysis is one of the most consequential steps in study start-up, and one of the most commonly underestimated. When done incorrectly, the risk surfaces downstream in billing errors, compliance exposure, audit findings, and delays.

Coverage analysis is where compliance is won or lost. We make sure you win.

A precision function, not a checkbox.

THE PROBLEM

What’s Actually At Stake

Most coverage analysis errors are not obvious at the time they are made — misclassified services, items assigned to the wrong payor, cost determinations that don't hold up under review. The downstream impact is significant:

Elevate Clinical Research Solutions offers a comprehensive Coverage Analysis solution which provides research institutions with an objective and thorough determination of which elements of a protocol should be billed to private or government payors and which should be paid for by the study sponsor. By referencing industry guidelines and peer-reviewed articles, Elevate ensures billing is compliant and accurate by creating a vital billing compliance tool to mitigate the risk of fraud.

‣Billing inaccuracies that expose your site to audit risk

‣Delayed study activation while issues are corrected

‣Compliance findings that could have been avoided

‣Revenue loss from items never funded correctly

OUR APPROACH

HOW WE WORK

Our team conducts detailed reviews of study protocols, schedules of events, and payor requirements — evaluating QCT eligibility, assigning financial responsibility, and referencing applicable Medicare guidance including NCDs and LCDs.

We do not treat coverage analysis as a standalone task. It is a foundational component of the broader study start-up process.

WHAT YOU GET

WHAT WE DELIVER

‣ Comprehensive review of protocol and study documents

Coverage analysis grids aligned with your site's standards

Alignment with Medicare guidelines and institutional policies

‣ Comprehensive review of protocol and study documents

‣ Comprehensive review of protocol and study documents

‣ Comprehensive review of protocol and study documents

Ready to protect your next study?

Connect with our team and see how a precision coverage analysis holds up under review.