Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2009-D20
Case Name
Henry Ford Health System Managed Care GME/IME Payments Group vs. BlueCross BlueShield Association/National Government Services, LLC
Issue
Whether the Intermediary properly disallowed payments for indirect medical education (IME) and direct graduate medical education (DGME) with respect to discharges of Medicare beneficiaries who were enrolled in the Medicare + Choice or other Medicare risk plans for the fiscal years at issue.