PRRB Dec. No. 2010-D53

Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2010-D53
Case Name
Henry Ford Health System vs. Blue Cross BlueShield Association/National Government Services, LLC
Issue
1. Whether the Intermediary properly determined the Provider's full-time equivalent (FTE) counts used for purposes of calculating payment for direct graduate medical education (GME) and indirect medical education (IME) based on its exclusion of residents in other approved programs, including unaccredited training programs. 2. Whether the Intermediary properly excluded FTEs attributable to time spent by residents in research that was required by the resident's approved medical residency programs.

Downloads