2010-D45

Dynamic List Information
Dynamic List Data
Decision Number
2010-D45
Case Name
University Medical Center vs. Blue Cross and Blue Shield Association
Issue
1. Whether the Intermediary properly excluded resident rotations for research and scholarly activities when calculating the resident full time equivalent (FTE) count for indirect medical education (IME) adjustment purposes. 2. Whether the Intermediary's calculation of the new program add-on to the Provider FTE cap was improper by virtue of the fact that it omitted time spent by residents in research and scholarly activities.

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