Dynamic List Information
Dynamic List Data
Decision Number
PRRB Dec. No. 2011-D34
Case Name
Sutter 98-99 Managed Care (CIRP) Group vs. BlueCross BlueShield Association/First Coast Service Options, Inc.
Issue
Whether the Intermediary properly disallowed payments for indirect medical education (IME) and direct graduate medical education (DGME) payments related to managed care days, discharges, and simulated payments for the fiscal years in contention.