Department of Health and Human Services

Office of Inspector General -- AUDIT

"Examination of the Administrative Costs Incurred Under the Health Insurance for the Aged and Disabled (Medicare) Part A," (A-04-01-01007)

November 23, 2001

Complete Text of Report is available in PDF format (1.98 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

Blue Cross Blue Shield of Georgia (BCBS of GA) had generally established adequate systems for internal control, accounting and reporting for administrative costs. Further, except for the $575,471, the administrative costs for the period October 1, 1994 through September 30, 1999, were generally in accordance with Part 31 of the Federal Acquisition Regulations as interpreted and amended by Appendix B of BCBS of GA's agreement with the Centers for Medicare and Medicaid Services. We recommended disallowance of the $575,471.