Instructions Applicable to the Audit of Hospitals that are Part of an Affiliated Group in Relation to the “Redistribution of Unused Resident Positions,” Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Change Request (CR) 3247, Transmittal 87, issued on May 26, 2004, contained instructions for the submission of a hospital’s timely request to its fiscal intermediary (FI) related to P.L. 108-173, Section 422, “Redistribution of Unused Resident Positions.” The CR 3353, Transmittal 92, issued on July 2, 2004, provided additional instructions to FIs related to this section. This One-Time
Notification (OTN) provides instructions to FIs regarding the audit of hospitals that are part of a Medicare GME affiliated group in relation to section 422 of P.L. 108-173.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 03, 2004
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