42 CFR 412.105 - Special treatment: Hospitals that incur indirect costs for graduate medical education programs

Cite as42 CFR 412.105
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110 practice notes
46 cases
  • 684 F.Supp.2d 42 (D.D.C. 2010), C. A. 08-01520(HHK), Loma Linda University Medical Center v. Sebelius
    • United States
    • Federal Cases United States District Courts United States District Court (Columbia)
    • February 16, 2010
    ...359) (internal quotation marks omitted). Reimbursements for IME costs are calculated based on the ratio of residents to hospital beds. 42 C.F.R. § 412.105; AR Before Congress passed BBA '97, hospitals received reimbursement from the Secretary for DGME and IME costs associated only with serv......
  • 670 F.Supp.2d 148 (D.R.I. 2009), Civ. A. 06-05 S, Rhode Island Hosp. v. Sebelius
    • United States
    • United States District Courts. 1st Circuit. District of Rhode Island
    • November 24, 2009
    ...reference to the hours residents work. Only qualified activities under Medicare regulations count towards a hospital's FTE tally. See 42 C.F.R. § 412.105(f) (2009) (establishing rules for determining the number of B. Procedural History For fiscal year 1996, Plaintiff sought IME payments for......
  • 670 F.Supp.2d 148 (D.R.I. 2009), Civ. A. 06-05 S, Rhode Island Hosp. v. Sebelius
    • United States
    • United States District Courts. 1st Circuit. District of Rhode Island
    • November 24, 2009
    ...reference to the hours residents work. Only qualified activities under Medicare regulations count towards a hospital's FTE tally. See 42 C.F.R. § 412.105(f) (2009) (establishing rules for determining the number of B. Procedural History For fiscal year 1996, Plaintiff sought IME payments for......
  • Rhode Island Hosp. v. Sebelius, 112509 RIDC, 06-05 S
    • United States
    • United States District Courts. 1st Circuit. District of Rhode Island
    • November 25, 2009
    ...reference to the hours residents work. Only qualified activities under Medicare regulations count towards a hospital’s FTE tally. See 42 C.F.R. § 412.105(f) (2009) (establishing rules for determining the number of B. Procedural History For fiscal year 1996, Plaintiff sought IME payments for......
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13 firm's commentaries
  • CMS Interim Rule Makes Sweeping Changes in Response to COVID-19 Public Health Emergency
    • United States
    • LexBlog United States
    • May 8, 2020
    ...of an excepted PBD and bills OPPS using the appropriate modifier. Section G. Medical Education CMS is revising regulations at 42 CFR § 412.105(d)(1) to ensure that teaching hospitals do not experience a reduction in indirect medical education (IME) payments resulting from a temporary surge ......
  • CMS Interim Rule Makes Sweeping Changes in Response to COVID-19 Public Health Emergency
    • United States
    • JD Supra United States
    • May 11, 2020
    ...of an excepted PBD and bills OPPS using the appropriate modifier. Section G. Medical Education CMS is revising regulations at 42 CFR § 412.105(d)(1) to ensure that teaching hospitals do not experience a reduction in indirect medical education (IME) payments resulting from a temporary surge ......
  • Payment Matters: Hospitals Suffer Setback in IME Research Case
    • United States
    • JD Supra United States
    • September 7, 2011
    ...Cir. Aug. 18, 2011) [PDF] The single issue in the district court cases and in the Rhode Island case was how to read the regulation at 42 C.F.R. § 412.105(f), which specifies that a resident’s time may be included in the IME FTE count if the resident is (1) enrolled in an approved teaching p......
  • CMS Proposed Rule Includes Significant Changes to Medicare GME Funding
    • United States
    • LexBlog United States
    • May 20, 2020
    ...in which they are enrolled. The Medicare direct GME regulations (42 CFR 413.79(h)) and indirect medical education (IME) regulations (42 CFR 412.105(f)(1)(ix)) enable a hospital that is closing, or that may close one or more of its GME programs (commonly referred to as the “originating hospi......
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