Complete Text of Report is available in PDF format
(1.24 mb). Copies can also be obtained by contacting the Office of Public Affairs
at 202-619-1343.EXECUTIVE SUMMARY:
This final report points out that the Office of Inspector General's (OIG) audits of peer review organizations (PRO) bid proposals completed during Fiscal Year 1990 resulted in a savings to the Medicare program of over $33 million. This represents a return of $83 to $1 when compared with the cost of performing these audits. However, the Health Care Financing Administration (HCFA) did not have a comprehensive program to reduce the occurrences of unsupported costs in future PRO bid proposals. Further, HCFA had not taken action to ensure that PROs take appropriate actions in response to procedural recommendations made in the OIG's PRO proposal audits.