2020D04

Whether Northeast Regional Medical Center (“Northeast” or the “Provider”), as a Sole Community hospital (“SCH”), was properly reimbursed for indirect medical education costs for services provided to Medicare Advantage (“MA”) patients for the fiscal year ending May 31, 2009. In particular, whether cost report Worksheet E Part A properly calculates the settlement for indirect medical education (“IME” or “indirect GME”) on Medicare Managed Care (“Part C”) claim, for an SCH whose hospital specific rate (“HSR”) exceeds the hospital’s inpatient prospective payment system (“IPPS”) federal rate.