PRRB Dec. No. 2018-D28

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Decision Number
PRRB Dec. No. 2018-D28
Case Name
Providence Sacred Heart Medical Center vs. Noridian Healthcare Solutions,LLC
Issue
Whether the MAC properly disallowed reimbursement for direct graduate medical education (GME) and indirect medical education (IME) costs in the non hospital setting by reducing the Provider’s full-time equivalent (FTE) resident counts to exclude resident time spent in the non-hospital settings.

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