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GME PROGRAM INFRASTRUCTURE

Part of our expertise is taking  your established teaching Health Center/ hospital and completing a full assessment  as to whether or not your current Graduate Medical Education (GME) programs are capturing all full-time equivalent (FTE) available for the Medicare CMS cost report.

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If your programs are not capturing the full potential FTE's, your institution is losing a great amount of CMS reimbursement money crucial for the survival of your residency and/or fellowship training programs.

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CMS FTE Definition: Full-time equivalent (FTE) resident caps for teaching hospitals set the maximum number of residents for which the hospital is eligible to receive graduate medical education (GME) reimbursement from Medicare. 

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Medicare provides funding for GME, paying “its share” of costs. Medicare provides GME payments based on a number of factors, including an institution’s FTE residents/fellows. However, Medicare GME funding is not tied to a specific resident/fellow. Instead, multiple residents/fellows may occupy one FTE because not all time is counted for Medicare purposes (e.g., time spent at facilities operated by a VA Medical Center would not be reimbursed by Medicare).

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Part of our assessment is to evaluate your residency / fellowship programs’ rotation block schedules, affiliations, participating sites and GME resident/fellow database software to make sure all available FTE’s are being captured for CME reimbursement.

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