Skip to Content

Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Periodic Interim Payments Made by Blue Cross of Western Pennsylvania," (A-03-91-00033)

January 8, 1992

Complete Text of Report is available in PDF format (434 KB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This report points out that Blue Cross of Western Pennsylvania (BCWP) made erroneous payments of about $2.7 million to 14 hospitals under the Periodic Interim Payment reimbursement method. The BCWP has done little to recover the overpayments, and has failed to comply with Medicare recovery guidelines. As a result, less than $200,000 has been recovered, or about 6 percent of the $2.7 million owed to Medicare.