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Research Bench Lab

Research Training

CMS Submissions

The Centers for Medicare & Medicate (CMS) submission packet provides the user with guidance in submitting a request for Medicare coverage of research-related allowable routine care items, services, or medical devices.

***Submit Professional Billing: Use this form to submit a Human Research Charge Notification to Clinical Physician Services (CPS)***

Resources

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MCW and Froedtert Health CMS Request for IDE: Submission Package Instructions

Description
This is intended to educate new employees about MCW’s research policies and procedures.

Attachment Type
PDF

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

View Instructions (PDF)

MCW and Froedtert Health CMS Investigational Device Exemption Cover Document

Description
This is intended to educate new employees about MCW’s research policies and procedures.

Attachment Type
DOCX

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

View Document (DOCX)

CMS IDE Study Criteria Crosswalk Table

Description
This is intended to educate new employees about MCW’s research policies and procedures.

Attachment Type
DOCX

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

View Crosswalk (DOCX)

CMS Submission Letter

Description
Provides the CMS reviewer with the Sponsor-Investigator attestation and explanation of how their IDE meets Medicare Study Criteria for coverage. Also included in this tab are the Instructions for Completion of CMS Submission Letter, which clarify the details required in the CMS Submission Letter.

Attachment Type
.zip package

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

Download Packet (.zip)

Instructions for Completion of CMS Submission Letter

Description
This is intended to educate new employees about MCW’s research policies and procedures.

Attachment Type
DOCX

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

View Template (DOCX)

MCW Investigator Agreement for IDE

Description
This is intended to educate new employees about MCW’s research policies and procedures.

Attachment Type
DOCX

Questions / Technical Support
If you have any questions, please contact Sue Mauermann.

View Agreement (DOCX)