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Inspection of VA Regional Office Atlanta, Georgia

Report Information

Issue Date
Report Number
14-00902-207
VISN
State
Georgia
District
VA Office
Veterans Benefits Administration (VBA)
Report Author
Office of Audits and Evaluations
Report Type
Review
Recommendations
8
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
We evaluated the Atlanta VARO to see how well it accomplishes its mission. We also assessed the merits of a complaint involving deceptive VARO mail management practices. We found VARO staff did not accurately process 34 (38 percent) of 90 disability claims reviewed. We sampled claims we considered at higher risk of processing errors, thus these results do not represent the overall accuracy of disability claims processing at this VARO. Claims processing that lacks compliance with VBA procedures can result in the risk of paying inaccurate and unnecessary financial benefits. Seventeen of 30 temporary 100 percent disability evaluations reviewed were inaccurate. Generally, the errors occurred because VARO staff did not take timely action on reminder notifications for medical reexaminations. VARO staff incorrectly processed 8 of 30 traumatic brain injury (TBI) claims because oversight was lacking to ensure staff complied with VBA’s second-signature policy. Further, staff incorrectly processed 9 of 30 special monthly compensation and ancillary benefits claims due to a lack of training. VARO managers ensured Systematic Analyses of Operations were complete, timely, and contained the analysis and recommendations needed to address deficiencies. However, VARO staff delayed completing 16 of 30 benefit reduction cases because management assigned staff to address other priorities. We did not substantiate anonymous allegations concerning deceptive mail management practices at the Atlanta VARO. We recommended the VARO Director develop and implement a plan to ensure staff take timely action on reminder notifications for medical reexaminations; review and take appropriate action on the 776 temporary 100 percent disability evaluations remaining from our inspection universe; ensure effective second-signature reviews and training on processing TBI, special monthly compensation, and ancillary benefits claims; and develop a plan to prioritize actions on benefit reduction cases. The VARO Director concurred with all recommendations and the planned corrective actions are responsive. We will follow up on these actions as deemed appropriate.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director develop and implement a plan to ensure timely and appropriate action on reminder notifications for medical reexaminations.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director develop and implement a plan to review for accuracy the 776 temporary 100 percent disability evaluations remaining from our inspection universe.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director provide refresher training for staff on processing traumatic brain injury claims and implement a plan to monitor the effectiveness of this training.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director develop and implement a plan to ensure staff comply with the Veterans Benefits Administration's second-signature requirements for traumatic brain injury claims, including tracking and trending errors in processing these claims to identify local training needs.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director develop and implement a plan to ensure staff receive refresher training on identifying and returning insufficient medical examination reports related to traumatic brain injury claims to medical facilities for correction.
No. 6
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director ensure claims processing staff receive refresher training on processing special monthly compensation and ancillary benefits.
No. 7
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director promote staff awareness of the second-signature review policy for processing special monthly compensation and ancillary benefits and ensure that qualified staff conduct the secondary reviews.
No. 8
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
We recommended the Atlanta VA Regional Office Director implement a plan to ensure claims processing staff prioritize actions related to benefit reductions to minimize improper payments to veterans.