PRRB Dec. No. 2008-D34

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Decision Number
PRRB Dec. No. 2008-D34
Case Name
Henry Ford Hospital vs. BlueCross BlueShield Association/ National Government Services, LLC -WI
Issue
1. Whether the Intermediary properly excluded FTEs attributable to rotations by residents in certain unaccredited training programs. 2. Whether the Intermediary properly excluded IME FTEs attributable to time spent by residents in research that was required by the resident's approved medical residency programs. 3. Whether the Intermediary properly excluded FTEs attributable to resident leave time when it is taken during rotations in which the resident is conducting research. 4. Whether the Intermediary properly excluded from the FTE cap, FTEs attributable to time spent by residents in new programs.

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