IME/GME Reimbursement Service

BESLER’s IME/GME Reimbursement Service includes reviewing the accuracy of all GME and IME FTE caps* to include any modifications resulting from CMS redistributions plus any other modifications to the cap whether temporary or permanent.

Our team will also review the accuracy of Resident-to-Bed ratios – and review the accuracy of the current year, prior year and second-to-past year FTE counts – including a review of the rotation schedule support.

Why Choose BESLER?

  • Optimizing reimbursement from Medicare is essential to a viable IME/GME program.
  • Indirect Medical Education can be a substantial add-on payment to your DRGs.
  • The BESLER team has extensive experience (25+ years) in reviewing Cost Reports and working with teaching hospitals.

Contact BESLER to learn more about its IME/GME Reimbursement Service that will help your hospital optimize reimbursement.

Related Add-on Services

  • Review the accuracy of all resident demographic information in IRIS files.
  • Conduct a detailed Bed Management Review to potentially improve your ratio.
  • iRotations (BESLER’s tool used to manage and track interns and residents as they rotate through ALL facilities and contracted offices.)
IPPS Final Rule Published

CMS published the Inpatient Prospective Payment System (IPPS) Final Rule for Federal Fiscal Year 2024 for display.

All changes to rates, payment policies, or programs are effective October 1, 2023.

*FTE Cap Calculation – Result of Milton S Hershey Medical Center, et al. v. Becerra

  • If weighted and unweighted FTEs > FTE cap
  • Total weighted FTE count = FTE cap
  • If weighted FTEs < FTE cap
  • Total weighted FTE count = Weighted FTEs
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