Our Approach
Unlock Reimbursement Opportunities for New Medical Education Programs
Hospitals with rural status may have unique opportunities to establish and grow new medical education programs that qualify for additional Medicare Indirect Medical Education (IME) reimbursement. However, determining whether a program meets CMS "newness" requirements requires specialized regulatory knowledge, detailed documentation, and careful coordination throughout the cost report and audit process.
TPR assists hospitals and health systems with evaluating newly accredited residency and training programs, determining compliance with Medicare new program requirements, calculating IME cap adjustments, and supporting cost report reporting and audit readiness. Our structured methodology helps organizations navigate complex regulatory requirements while maximizing reimbursement opportunities associated with qualifying new programs.
With extensive experience in graduate medical education reimbursement, TPR provides strategic guidance from initial program evaluation through cap establishment, helping organizations capture reimbursement opportunities while maintaining full compliance with CMS requirements.
How will our services help you?
Key Benefits
Identify Qualifying New Program Opportunities
We analyze residency and training programs against CMS newness criteria to determine whether they may qualify for additional IME reimbursement and future cap adjustments.
Maximize Medical Education Reimbursement
Our team helps hospitals accurately calculate and support new program IME cap increases, amend or reopen prior cost reports when appropriate, and ensure eligible reimbursement is properly captured
Prepare for Audit Success
We help organizations develop and maintain the documentation required to support new program determinations, cost report positions, and Medicare Administrative Contractor reviews, creating a foundation for long-term compliance and audit readiness.