Report Materials
Most of the costs in Blue Cross and Blue Shield of Georgia, Inc.'s (BCBSGA's), termination vouchers for the period May 5, 2009, through June 30, 2010, were reasonable, allocable, and allowable for Medicare reimbursement. Of the $1.69 million in Medicare Part A termination costs reviewed, $1.51 million was allowable for Medicare reimbursement under the contract. However, the remaining $180,000 was not. Of this amount, $160,000 was not allocable to the contract, $16,000 was unsupported, and $4,000 was unreasonable. BCBSGA claimed these unallowable termination costs because it did not have adequate policies and procedures to ensure that these costs were in compliance with applicable Federal regulations and Centers for Medicare & Medicaid Services guidance.
Notice
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.