tci Medicare Compliance & Reimbursement - 2005 Issue 2

HOSPITALS: Payments Are Iffy For Residents In Nonhospital Settings

Here's which reimbursement rules are still up for consideration. Good news, hospitals: The HHS Office of Inspector General has voted to extend a 2004 moratorium that allows medical education payments for physician supervision of certain residents.If CMS agrees, fiscal intermediaries will pay even when a teaching hospital does not incur the costs related to physician supervision of osteopathic and allopathic family practice residents.But it's not a long-term fix. In a final report, "Alternative Medicare Payment Methodologies for the Costs of Training Medical Residents in Nonhospital Settings" (A-02-04-01012), the OIG outlines five alternative methodologies for paying training...

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