Increasing Audits of GME Hospitals
November 14, 2018 The Office of Inspector General (OIG) issued a report titled “CMS Did Not Always Ensure Hospitals Complied With Medicare Reimbursement Requirements For Graduate Medical Education”. Said report was based on OIG audits, which found that hospitals in six Medicare Administrative Contractors (MAC) jurisdictions counted residents (including interns) as more than one full-time...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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HRSA’s Response on The Establishment of the CHGME Quality Bonus System
July 2, 2018: Before we lose the interest of the non-children’s teaching hospitals, we would like to note, it may be wise to keep any changes in the CHGME funding in your sights; if successful, we do not see a reason why the Medicare GME Program couldn’t follow suit. In the June 26, 2018 Federal Register 1, the Health Resources and Services Administration (HRSA) issued a final response to its...Read More
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