Handling Erroneous Denials of Qualifying Clinical Trial Services

69.8 - Handling Erroneous Denials of Qualifying Clinical Trial Services (Rev. 487, Issued: 03-04-05, Effective and Implementation: N/A) If a service Medicare covers was billed with the appropriate clinical trial coding but was inadvertently denied (e.g., for medical necessity or utilization) and is subsequently brought to your attention, adjust the denied claim. If the denied services weren’t properly coded as clinical trial services, instruct the provider to resubmit the service on a new claim with appropriate clinical trial coding.