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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Nursing and Allied Health Education Payments to St. Elizabeth Medical Center for the Period January 1, 2004, Through December 31, 2004," (A-02-05-01027)

June 10, 2008

PDF FileComplete Text of Report is available in PDF format (1,230 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


For calendar year 2004, St. Elizabeth Medical Centerís (St. Elizabeth) nursing and allied health education programs met both Medicare program eligibility and cost reimbursement requirements. 

Pursuant to Federal regulations, a provider that has transferred ownership of a previously provider-operated program to a wholly owned subsidiary educational institution may receive reasonable Medicare cost payments.  For transfers prior to October 1, 2003, Medicare reimburses the provider for clinical training costs and classroom courses included in the previously provider-operated program.  In 1997, St. Elizabeth restructured its nursing education program.  Therefore, costs related to classroom courses added to the program after the transfer are not eligible for Medicare payment.

In its comments on the draft report, St. Elizabeth stated that it added a course to its nursing education program after transferring ownership of the program and provided documentation that the course was a clinical course with no classroom time.  Based on the new documentation provided, the report contains no recommendations.