Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Graduate Medical Education Costs Claimed By The Baystate Medical Center For Fiscal Year Ended September 30, 1999," (A-01-02-00514)

April 2, 2003

Complete Text of Report is available in PDF format (556 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This report presents the results of our review of medical education payments claimed by the Baystate Medical Center for the fiscal year (FY) ended September 30,1999.   The objective of our review was to determine the accuracy of resident Full Time Equivalent (FTE) counts used to calculate direct graduate medical education (GME) and indirect medical education (IME) payments.  We found that the Hospitalís controls over the proper claiming of resident FTEs were generally adequate with the exception of 6.4 GME FTEs and 5.8 IME FTEs that did not meet Medicare criteria for reimbursement.  The effect of these errors did not reduce the FTE counts below established limits on FTEs allowable to be claimed.  Therefore, there was no adverse financial impact to the Hospitalís FY 1999 GME/IME reimbursement.  However, we believe such adjustments should be made and corrective policies be put in place in order to provide accurate historical information used in future yearsí reimbursements.  We recommended that the Hospital strengthen its procedures to ensure that resident FTE counts are computed in accordance with Medicare regulations.  The Hospital agreed with our findings and recommendation.