Skip to main content
U.S. flag

An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Review of Periodic Interim Payments Made by Blue Cross of Western Pennsylvania

Issued on  | Posted on  | Report number: A-03-91-00033

Report Materials


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.