PRRB Dec. No. 2010-D51

Whether the Intermediary properly reduced the Provider's number of resident full-time equivalents (FTEs) used for purposes of Medicare direct graduate medical education (GME) and indirect graduate medical education (IME) payment based on its contention that the Provider did not meet the written agreement requirement for counting resident time spent in nonprovider settings in 42 C.F.R. 412.105 and 413.86.