Report Summary

Title: Review of VHA's South Texas Veterans Health Care System's Management of Fee Care Funds
Report Number: 11-04359-80
Issue Date: 1/10/2013
City/State: San Antonio, TX
New Braunfels, TX
Uvalde, TX
Victoria, TX
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Audits and Evaluations
Report Type: Audits, Reviews & Evaluations
Release Type: Unrestricted
Summary: OIG substantiated the allegation the South Texas Veterans Health Care System (STVHCS) authorized several million dollars in fee care during FYs 2009 and 2010 although it did not have sufficient funds obligated and available to pay for the services the veterans received. STVHCS did not ensure clinical and fee staff complied with required steps for authorizing fee care and fee staff also did not timely process fee care payments. STVHCS clinical and fee staff lacked defined roles and responsibilities, sufficient training, and adequate supervision. Management in neither STVHCS nor Veterans Integrated Service Network (VISN) 17 had effective oversight mechanisms in place to ensure sufficient funds were available to pay for the fee care received by veterans.
STVHCS lacked visibility over these unpaid claims when vendors’ invoices were received until fee staff researched, summarized, and processed this information dating back to FY 2009. STVHCS incurred avoidable interest penalties for untimely payments.