PRRB Review

Decision #
2009D16
Case #
05-1296G; 05-1315G; 05-2197G; 06-1668G
Provider #
07-0010; 07-0022; 07-0018
Issue
Whether the Intermediary properly disallowed direct graduate medical education (DGME) and indirect medical education (IME) payments with respect to discharges of Medicare beneficiaries who were enrolled in the Medicare + Choce or other Medicare risk plans in fiscal years ending September 30, 1998, 1999, 2000 and 2001.
Case Name
Yale-New Haven Health Services Group Appeals
Decision Date
04/02/2009
Fiscal Year End
09/30/1998- 09/30/2001