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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Medicare Credit Balances at Hospitals in South Carolina," (A-04-91-02015)

April 17, 1992

Complete Text of Report is available in PDF format (1.73 mb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This final report discloses that Medicare accounts receivable credit balances included unidentified overpayments totaling an estimated $1.3 million for 17 hospitals in South Carolina serviced by Blue Cross and Blue Shield of South Carolina as the Medicare intermediary. The overpayments existed because neither the hospitals nor the intermediary reviewed credit balances or processed adjustments timely. We recommended recovery of the overpayments and procedural improvements to ensure that the hospitals and the intermediary perform more timely reviews.