OIG Seal
Department of Veterans Affairs, Office of Inspector General
Michael J. Missal, Inspector General

Oversight Reports

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the Executive in Charge, Veterans HealthAdministration, ensure required oversight reviews are conducted anddocumented prior to the award of leases, contracting officers performacquisitions in accordance with Department of Veterans Affairs andFederal Acquisition Regulation requirements, and awarded lease rates arein the best interest of the government.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the Executive in Charge, Veterans HealthAdministration, ensure the lease for the Laughlin Rural Outreach Clinicis reevaluated to determine the financial advantages and disadvantages ofrenegotiating the terms of the contract to obtain a Fair Rental Valuecommensurate with the Laughlin Nevada area.

Total Monetary Impact of All Recommendations

Open: $ 202,045.00
Closed: $ 87,965.00

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA); Office of Information and Technology (OIT)

The OIG recommended the executive in charge for the Office of the Under Secretary for Health, in conjunction with the executive in charge for the Office of Information and Technology, ensure that all guest internet access networks, external air gapped networks, and industrial control systems are appropriately segregated from VA networks and meet the department’s information security requirements.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the Acting Assistant Secretary for the Office of Information and Technology ensure the new directive reflects updates so that new and emerging advances in information technology are included.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the Acting Under Secretary for Health ensure VHA’s Chief Financial Officer, in consultation with VA’s Chief Financial Officer and Office of General Counsel, determine which medical care appropriation VHA should use for mobile health application development and notify VHA staff offices accordingly.

No. 3   to Veterans Health Administration (VHA)

The OIG recommended the Acting Assistant Secretary for the Office of Management issue a memorandum reiterating the importance of complying with the United States Code, Federal Regulations, and VA’s current policies on the proper use of appropriations.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System implements controls to make sure sufficient information on the outpatient Medical Support Assistant workforce is captured and documented to allow leadership to align strategically this workforce with outpatient clinical operations.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System implements mechanisms to make certain that Human Resources Management Service personnel record complete and accurate Medical Support Assistant recruitment and hiring data and documentation in the USA Staffing System.

No. 3   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System leverages available incentives to the extent practicable to recruit and retain qualified applicants for human resources specialist positions.

No. 4   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System implements the Hire Right Hire Fast program’s best practices to improve the timeliness of the Medical Support Assistant selection process.

No. 5   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System implements controls to make certain newly hired Medical Support Assistants are provided with timely performance plans in accordance with VA Handbook 5013/12.

No. 6   to Veterans Health Administration (VHA)

The OIG recommended the Veterans Integrated Service Network 22 Director ensures that the director of the Phoenix VA Health Care System evaluates the feasibility of using available employee survey data to identify and redress the reasons why Medical Support Assistants leave their current positions.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, develop and issue written payment policies to guide staff processing medical claims received from Third Party Administrators, as well as establish expectations and obligations for the Third Party Administrators that submit invoices for payment.

No. 2   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure payment processing staff have access to documentation from the Third Party Administrators verifying amounts paid to providers to ensure the Third Party Administrators are not billing VA more than they paid the provider for medical claims.

No. 3   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure Veterans Health Administration payment staff have access to accurate data regarding veterans’ other health insurance coverage and establish appropriate processes for collecting payments from these health insurers.

No. 4   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure the new payment processing systems used for processing medical claims from Third Party Administrators have the ability to adjudicate reimbursement rates accurately and to ensure duplicate claims are not paid.

No. 5   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure VA performs post-payment audits on a periodic basis to determine if payments made to Third Party Administrators for medical care are accurate.

No. 6   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure that Office of Community Care staff and members of VA’s Office of General Counsel continue to work collaboratively with relevant Government authorities to review and determine an appropriate process for reimbursement.

No. 7   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure the Veterans Health Administration has sufficient claims processing capacity to timely meet and process expected claim volume from the Third Party Administrators.

No. 8   to Veterans Health Administration (VHA)

We recommended the Executive in Charge, Veterans Health Administration, ensure that future contracts with Third Party Administrators contain payment timeliness standards for the processing of claims from health care providers.

Total Monetary Impact of All Recommendations

Open: $ 39,000,000.00
Closed: $ 0.00

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA); Office of Information and Technology (OIT)

The OIG recommended that the Acting Under Secretary for Health, in conjunction with the Acting Assistant Secretary for Information and Technology, apply additional resources and implement improved integrated project management controls for the remainder of the Real Time Location System project to restrict further cost increases.

No. 2   to Veterans Health Administration (VHA); Office of Information and Technology (OIT)

The OIG recommended that the Acting Under Secretary for Health, in conjunction with the Acting Assistant Secretary for Information and Technology, enforce the use of incremental project management controls, such as those used within the Veteran-focused Integration Process, on all remaining Real Time Location System task orders to ensure such efforts will provide an adequate return on investment.

No. 3   to Office of Information and Technology (OIT)

The OIG recommended the Acting Assistant Secretary for the Office of Information and Technology ensure that risk assessments are conducted on future Real Time Location System deployments to identify potential risks and vulnerabilities that may adversely affect other VA systems.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

We recommended the Director of the Carl T. Hayden VA Medical Center develop and implement written procedures requiring Beneficiary Travel Program and Fiscal Service staff to perform appropriate actions in response to electronic alerts notifying them of potential duplicate claims and payments.

No. 2   to Veterans Health Administration (VHA)

We recommended the Director of the Carl T. Hayden VA Medical Center develop and implement a quality review program to routinely ensure Beneficiary Travel Program staff document and use physical addresses when calculating mileage reimbursements.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Audit of VHA’s Management of Primary Care Panels

12/6/2017 | 15-03364-380 | Summary | Report | 3 Recommendations

Legend:   Open|   Closed

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the Acting Under Secretary for Health establish standardized primary care scheduling processes that provide newly enrolled veterans an opportunity to schedule an appointment at the time of enrollment.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the Acting Under Secretary for Health establish metrics to monitor the time it takes facilities to offer scheduling for an initial primary care appointment, beginning with the date the veteran submits a completed enrollment form.

No. 3   to Veterans Health Administration (VHA)

The OIG recommended the Acting Under Secretary for Health improve oversight by ensuring facilities set panel sizes consistent with VHA’s recommended model panel sizes, submit written justification for panel sizes that deviate from VHA’s model panel sizes for review and approval by VHA, or implement corrective action to mandate appropriate panel size.

Total Monetary Impact of All Recommendations

Open: $ 843,000,000.00
Closed: $ 0.00

Legend:   Open|   Closed

No. 1   to Veterans Benefits Administration (VBA)

The OIG recommended the Roanoke VA Regional Office Director conduct a review to identify prematurely closed appeals records, confer with appropriate VBA officials to determine the proper corrective actions to take, if any, and provide certification of completion of the review to the Office of Inspector General.

No. 2   to Veterans Benefits Administration (VBA)

The OIG recommended the Roanoke VA Regional Office Director confer with Regional Counsel to determine what steps to take, if any, with regard to management or staff involved in the conduct discussed in this report.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

Review of VA's Reimbursements to the Treasury Judgment Fund

11/28/2017 | 17-00833-05 | Summary | Report | 1 Recommendation

Legend:   Open|   Closed

No. 1   to Office of Management

We recommended the Acting Assistant Secretary for Management and Acting Chief Financial Officer establish procedures to ensure VA reimburses the Treasury Judgment Fund within 45 business days of receipt of requests for reimbursement or establishes appropriate payment plans for claims paid pursuant to applicable law.

Total Monetary Impact of All Recommendations

These recommendations have no monetary value.

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