Department of Health and Human Services

Office of Inspector General -- AUDIT

"Assist Audit of the Centers for Medicare & Medicaid Services' Fiscal Year 2003 Financial Statements at Palmetto Government Benefits Administrator - January 2003," (A-04-03-03027)

February 26, 2004

Complete Text of Report is available in PDF format (371 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

EXECUTIVE SUMMARY:

Our review showed that Palmetto’s:  (1) accounting controls for generating a paid claims electronic file were generally adequate, and (2) monthly financial reconciliations were substantially accurate, supportable, and complete.  However, we noted that the Multi-Carrier System is unable to generate a paid claims electronic file and this resulted in our being unable to reconcile total funds expended totaling approximately $1.7 million for Part B Ohio and West Virginia, and for the Railroad Retirement Board.