PRRB Dec. No. 2012-D08

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Decision Number
PRRB Dec. No. 2012-D08
Case Name
Rush University Medical Center vs. BlueCross/Blue Shield Association/National Government Services, Inc. (formerly AdminaStar Federal, Inc.)
Issue
1. Whether the Intermediary properly calculated the number of interns and residents for fiscal year (FY) 1993 for purposes of the Provider's direct graduate medical education (DGME). 2-A. Whether the Intermediary's adjustments to the Provider's bed count, as used for purposes of the indirect medical education (IME) calculation was proper. 2-B. Whether, in calculating the Provider's bed count as used for purposes of IME calculation, there should have been a reduction for beds used for observation purposes.

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