Audit for GME compliance to head off OIG investigators
Health Care Auditing Strategies, April 1, 2006
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Verify that your facility correctly accounts for resident FTEs
The OIG has asked the University of Louisville (KY) Hospital to repay $15,759 in the form of an amended cost report after the hospital included a graduate of a foreign dental school in its employee count.
This is the fourth audit of graduate medical education (GME) payments for dental residents that the OIG has issued in the past six months. Complying with GME reimbursement requirements can be challenging for any teaching hospital because of myriad changing factors to track when determining what costs the government allows.
"For anyone who has teaching programs at their facility, there's a fair amount of money coming through and there's a lot of input to calculate what is reimbursable for GME," says Bret Bissey, CHE, CMPE, chief compliance and privacy officer at the Deborah Heart and Lung Center in Browns Mills, NJ.
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