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Required Graduate Medical Education documentation
What documents are you required to maintain for purposes of GRE? 42 CFR 413.75 provides guidance: (1) The name and social security number of the resident. (2) The type of residency program in which the individual participates and the number of years the resident has …
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Direct Graduate Medical Education (GME) – Part 1
The purpose of this post is to discuss direct graduate medical education (GME). I will provide an overview of what is required on E-3, Part IV on 2552-96 or the new E-4 on the 2552-10. GME compensates hospitals for the costs of running a teaching …
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Reconcilition of Outlier Payments: How the Cost-to-Charge Ratio (CCR) Matters
In this post, I’d like to explain what happens when your final settled CCR is different from your priced CCR. I discussed before in the outlier discussion that the ratio of cost-to-charge (RCC or CCR) matters. However, this calculation is used merely to price your …
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Input Pricing Under the Prospective Payment System (PPS)
As discussed in a precious article about PPS, we discussed labor, nonlabor, and capital costs. The purpose of this brief discussion is to explain the elements in more detail, especially because of its interrelationship with the wage index computed on S-3, Part II and Part …
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