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B-164031(4) 1 (1970-11-13)

handle is hein.gao/gaobabkub0001 and id is 1 raw text is: RESTRICTED - Not to nero°°°o, Accounting Office except on the basis of specific approval //-/3 7i by the Office of Legislative Liaison, a record Of which is kept by the Distribution Section, Publications Branch, OAS COMPTROLLER GENERAL OF THE UNITED STATES RELEASED WASHINGTON 0 C 2054 : NOV 1 31970 B- 164031(4) Dear Mr. Chairman, (Pursuant to your request of May 7, 1970 (enc. II), we are submit- ting a report (enc. I) on our examination into Medicare payments made by Blue Shield of Florida, Inc (Blue Shield), for the services of super- visory and teaching physicians at Jackson Memorial Hospital, in M3- ami, Florida, which is a teaching hospital for the University of Miami School of Medicine (University). The supervisory and teaching physi- cians were on the faculty of the University, and some of them were also employed full time by the Veterans Administration (VA) at its Mi- ami hospital which is also affiliated -with the University. The Medicare payments discussed in this third report, submitted pursuant to your May 7 request, were made under the Supplementary Medical Insurance Benefits for the Aged (part B) portion of the Medicare program The Medicare piogram is administered by the Social Security Administration (SSA), Department of Health, Education, and Welfare, which has contracted with various private insurance companies, such as Blue Shield organizations, to make benefit payments for physicians' services Following is a summary of the information we obtained at the University and at Jac1son Memorial Hospital relating to the points of interest specified in your letter of May 7 These matters are dis- cussed in more detail on the cited pages of enclosure I --For the 18-month period ended December 31, 1969, Blue Shield paid about $930,000 under part B of the Medicare pro- gram for the services of University physicians who were teaching the residents and interns in training at the hospital and who were also functioning as the physicians having overall responsibility for the medical care of indigent and certain pay- ing patients The billings were made on a fee-for-service ba- sis in the names of specific physicians for specific services provided to specific Medicareppgtients --Included in these payments was about $100,000 for the services of University physicians who also were employed full time by

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