Claiming Foreign Dental Graduates on the IRIS Report
July 24, 2019 In general, a provider cannot claim Direct Graduate Medical Education (DGME) FTEs but can claim Indirect Graduate Medical Education (IME) FTEs for training rotations associated with foreign dental graduates (those students graduating from a dental school not located in the US, Canada or Puerto Rico). If you have spent time working with the Intern & Resident...Read More
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Claiming Resident Time in Inpatient Psychiatry & Rehabilitation Facilities
December 11, 2018 If residents are enrolled in a Medicare-approved program and rotate into the Inpatient Psychiatry Facility (IPF) or the Inpatient Rehabilitation Facility (IRF), they cannot be claimed for Indirect Graduate Medical Education (IME) on the Intern and Resident Information System (IRIS) report. However, they may be counted and included in a separate Medicare cost report...Read More
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Incorrect FTE Reporting Could Penalize Your Hospital
October 16, 2018 September’s newsletter provided a breakdown of the Intern and Resident Information System (IRIS) report. This newsletter will focus on one of the most important stats in the IRIS Report — the initial residency program. The initial residency program is important because it generates the initial residency period, which we will refer to as the “IRP”. Since most hospitals are...Read More
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IRIS Reporting Breakdown
September 19, 2018: Academic medical centers are required to submit to Medicare their Intern and Resident Information System (IRIS) report with their yearly cost report filing. The IRIS report is used to calculate the amount of reimbursement the hospital will receive for the direct and indirect costs of the Graduate Medical Education programs. The IRIS report contains information regarding...Read More
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Claiming Nonprovider Locations
March 14, 2018: In order to claim nonprovider locations on your IRIS report, there are several additional rules that you must consider. Our hope for you is that by the end of this article you will be able to identify if a facility is considered a nonprovider location, if the training in which the residents are participating is claimable for GME and IME, and the type of documentation that is...Read More
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Claiming Vacation Time
March 5, 2018: Reporting vacation time on the IRIS report can be tricky. Medicare regulations state that vacation time or leave of absence can be counted on the IRIS report as long as it does not prolong the total time of the resident’s training (42 CFR § 413.79(h)). It gets tricky when the resident that is on vacation is spending time in more than one hospital throughout the academic year....Read More
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