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B-164031(4) 1 (1970-08-21)

handle is hein.gao/gaobaauos0001 and id is 1 raw text is: aE l ta ,C i e cn r O o nIit Es ke to l~~~~~~~oEn. Bmn.ef th omiteDA u adtwokS by itr e E ro r UL,15s aln ns L3 th ocGa e .- -6A031l(4) RELEASED AG2,17 Dear Mr. Chair-man: VVr L093 On, March 9, 1970, representatives of the General Accounting Of- fice appeared before the W'ays and Means Qomnmittoe in executive session to brief the Comnmittee on our audit work vuirth respect to the Medicare program. The Medicare. prograrn is adinistered by the Social Security Adninistration (SS3, Department of Health, Education, and elfare0 (wicl- has entered into contracts vith various private insurance com- pAes--such as Blue Shield organizations--to makle benefit payments for physicians' services under the Supplementlary Medical Insurance BF-ieffits for the Aged (part 3) portion of the ledicare program. The natters we discussed before your Co..mmittee included our revipws at five hospitals concerning part B paynents for the services of supervisory andl teaching physicians. On May 7, 1970, the Chairnan of the Conittee on inance, United> Stt5es Sen t , requested that we furnish that Conazittee with individual rerArtE on these reviews because the Conm-ittee vould soon be consider- ing legislativo changes concerning IVMedicare payments to supervisory an3 teaching physicians. In connection with this request, Mr. William Fulierton of the staff of the Ways and Means Committee requested that we Thrnish similar reports to you. The enclosure to thlis letter sets forth the results of our review of M[edicare part B payments inade by the M-.ichigan Mv1edical Service (Blue $hield) for the services of salaried supervisory and teachh.g ph-ysicians at Her-nan Kiefer Hospital in Detroit, M,4ichigan. Following is a sumnary of the iniormation obtained during our review at the Herman Kiefer Hospital. These points are discussed in more detail in tie enclosure. --For the 3-year period ended June 30, 1969, Blue Shield paid about $354,000 to the hospital under part B of. the Medicare pro- gram for the services of salayied staff physicians at the hos- pital. The billings were on a foe-for-service basis in the namaes of specific physicians for specific services provided to specific Medicare beneficiaries. (See pp. 3 through 5.) /=' ...... _L le go, - ' 111111~=Hfl11mmH - ~ l m m ll ~ Zlllllllll mllllllll tt

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