2011-D27

Dynamic List Information
Dynamic List Data
Decision Number
2011-D27
Case Name
Kaleida Health vs. BlueCross BlueShield Association/National Government Services
Issue
1. Whether the Intermediary's adjustment of the Provider's direct Graduate Medical Education (GME) per resident amount was proper. 2. Whether the Intermediary properly excluded research time the Provider alleges was related to patient care from the FTE resident count for direct Graduate Medical Education (GME) and Indirect Medical Education (IME).

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