Medicare Reimbursement DME IME Patient Care, didactics, research

Patient Care Person Paid by… Location Who claims for DME? Who claims for IME? Resident #1 Hospital #1 Hospital #2 (regardless of whether its status = a “teaching hospital”) Hospital #2 Resident #2 Hospital #2 (including salary/fringes/malpractice) Non-hospital engaged primarily in patient care Resident #3 Hospital #3 Non-hospital NOT engaged primarily in patient care None

Didactics given in hospital setting Person Paid by… Location Who claims for DME? Who claims for IME? Resident #1 Hospital #1 Hospital #2 Resident #2 Resident #3 Hospital #3 Resident #4 Hospital #4 (in space contracted by the Faculty Practice Plan) None Resident #5 Hospital #5 Non-hospital setting incorporated in a hospital’s operating certificate Hospital whose operating certificate incorporates this site

Didactics given in a non-hospital setting Person Paid by… Location Who claims for DME? Who claims for IME? Resident #1 Hospital #1 Primarily engaged in patient care None Resident #2 Hospital #2 Resident #3 Hospital #3 Resident #4 Hospital #4 NOT primarily engaged in patient care

Research Person Paid by… Location Who claims for DME? Who claims for IME? Resident #1 Hospital #1 None Resident #2 Hospital #2 Resident #3 Hospital #3 Resident #4 Hospital #4 Non-hospital setting