Teaching Hospitals & Graduate Medical Education

The Hall Render Graduate Medical Education (GME) practice team has extensive experience advising teaching hospitals, community hospitals, physician organizations and health systems on the full range of GME matters in both the allopathic and osteopathic setting.

Hall Render attorneys regularly assist clients with hospital training and non-hospital site concerns; program development; GME organizational matters, including consortia structures; Medicare reimbursement advocacy and appeals to the Fiscal Intermediary/MAC, the Provider Reimbursement Review Board and CMS; and advice on ACGME and AOA accreditation issues. In addition, our attorneys work with programs to maintain the FTE cap during hospital consolidations, closures and mergers and guide new hospitals and new programs through the planning and development stages of becoming teaching hospitals. Improvements in health care quality and innovation begin with educating the providers, and our cutting-edge GME work involves assisting with the formation of fully integrated GME support systems that link the medical education programs of multiple providers with current trends in quality improvement and patient safety to create a model for GME administration.

The teaching hospital setting includes the complex Medicare physicians at teaching hospitals (PATH) rules for teaching physician reimbursement. Our attorneys routinely advise clients on teaching physician billing and the details of the primary care (E&M) exception, assistants at surgery and psychiatry. For Hall Render, GME means teaching hospitals, hospitals who want to become teaching hospitals, teaching physicians and all that is needed for successful program performance.

Our GME practice strives to support growth and quality in our clients' medical education programs, and our attorneys actively participate in bringing future trends in this area to fruition with our clients. Health care reform and potential funding cuts loom large for GME, and Hall Render attorneys are dedicated to staying current on emerging developments.

Our attorneys are committed to the GME industry and to preparing innovative solutions to an array of GME questions at both the federal and the AGCME/AOA level.