2019D38

Whether Northeast Regional Medical Center ("Northeast" or "Provider"), as a Sole Community Hospital ("SCH"), was properly reimbursed for indirect medical education costs for services provided to Medicare Advantage patients for the fiscal year ending May 31, 2011. In particular, whether the Cost Report Worksheet E Part A properly calculates the indirect medical education ("IME" or "indirect GME") settlement on Medicare Managed Care claims for a SCH whose hospital specific rate ("HSR") exceeds the hospital's inpatient prospective payment system ("IPPS") federal rate.