About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

093180 1 (1971-02-01)

handle is hein.gao/gaobacxaz0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE REGIONAL OFFICE ROOM 1903 JOHN P KENNEDY FEDERAL BUILDING GOVERNMENT CENTER BOSTON, MASSACHUSETTS 02203 February 1, 1971 Mr Millard P Nute Regional Representative, Bureau of Health Insurance Social Security Administration Department of Health, Education, and Welfare Boston, Massachusetts, 02203 Dear Mr Nute In order to ascertain the manner in which Massachusetts Blue Cross, a fiscal intermediary under the provisions of Title XVIII of the Social Security Act, has been determining the reasonable- ness of cost of hospital services furnished to Medicare patients, we reviewed the procedures and practices used by Blue Cross in arriving at final settlements with hospitals and audited the statements of reimbursable costs of three selected hospitals Questions raised during our review of the cost statements for two of the selected hospitals, the Mount Auburn Hospital and the Cambridge Hospital, were discussed in our letter to you dated March 10, 1970 This letter is to advise you of certain questionable cost items found during our review of the cost statements of the Massachusetts General Hospital (MGH) in Boston, Massachusetts, for the year ended September 30, 1967 Based on our examination of hospital documents and records and the Blue Cross audit work- papers, we believe that costs charged to the Medicare program totaling about $319,600 appear to be questionable The MGH is a privately incorporated non-profit teaching hospital that receives funds for patient care from patients and from third-party insurers, both governmental and commercial The hospital also receives funds through Government research grants and private contributions and endowments. About 27 percent of MGH costs are related to research and other non-patient care activities MGH has about 1,070 beds For the fiscal year ended September 30, 1967, the hospital reported 367,874 inpatient days of which 108,021 or about 29 percent were for Medicare patients The cost statement submitted by MGH for the same period showed net costs applicable to Medicare patients of about $7 7 million. The net effect of adjustments made by the Blue Cross audit staff together with the use of later statistical data resulted in increased costs of about $200,000 as follows 50TH ANNIVERSARY 1921-1971

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most