Corporate Compliance

Auditing graduate medical education

Compliance Monitor, October 4, 2005

This week, we'll wrap up our discussion of steps for auditing graduate medical education (GME). Last week, we discussed steps for reviewing residency periods and full time equivalent (FTE) time. This week, we'll conclude by discussing the steps for reviewing research time and determining the net dollar effect of audit adjustments to the GME and IME (indirect medical education) FTE counts.

To review research time

  • determine whether each resident's time spent in clinical research is allowable

  • for GME FTEs, determine whether residents performed research as part of an approved residency program

  • for IME FTEs, determine whether research relates to the direct care of a hospital patient

    To determine the net dollar effect of audit adjustments to the GME and IME FTE counts

  • for GME-recalculate the hospital's Medicare cost report Worksheets E-3, Part IV

  • for IME-recalculate Worksheet E, and Part A for IME

      The above tip is an excerpt from the book "Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas." Copyright 2004 by HCPro, Inc. This book is a step-by-step, practical manual that offers sample audit programs for the most troublesome areas that a hospital must audit. The binder and CD-ROM are filled with actual audit programs used by auditors and compliance officers in the field. Click here for more information or to order your copy today.

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