Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2009-D16
Case Name
Yale-New Haven Health Services Group Appeals vs. BlueCross BlueShield Association/National Government Services
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 in contention.