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Inspection of VA Regional Office Honolulu, Hawaii

Report Information

Issue Date
Report Number
15-01996-503
VISN
State
District
VA Office
Veterans Benefits Administration (VBA)
Report Author
Office of Audits and Evaluations
Report Type
Review
Recommendations
4
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
Overall, VA Office of Inspector General (OIG) benefits inspectors determined Honolulu VA Regional Office (VARO) claims processing staff incorrectly processed 20 of the 69 (29 percent) disability claims selected for review. The claims processing errors resulted in approximately $135,085 in improper benefits payments at the time of our inspection in April 2015. The OIG benefits inspectors sample disability claims considered at increased risk of processing errors so inspection results do not represent the accuracy of all disability claims processed at the Honolulu VARO. OIG staff found VARO staff incorrectly processed 5 of 30 claims related to temporary 100 percent disability evaluations, and processed 8 of 30 traumatic brain injury claims incorrectly. Results in the temporary 100 percent disability evaluations suggest improvement since the VARO was last inspected in 2012. However, OIG reported 7 of 9 cases relating to Special Monthly Compensation and ancillary benefits contained errors. Honolulu VARO staff accurately established the correct date of claim in an electronic system of records for all 30 claims sampled. OIG inspectors also determined VARO staff delayed taking action in processing 14 of the 30 benefits reduction cases because VARO management did not prioritize this workload. The Director of the Honolulu VARO concurred with OIG’s recommendations for improvement.

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 Health Administration (VHA)
We recommended the Honolulu VA Regional Office Director provide training on traumatic brain injury claims and assess the effectiveness of that training.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Honolulu VA Regional Office Director ensure frequent refresher training for processing higher levels of special monthly compensation and ancillary benefits claims and monitor the effectiveness of this training.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Honolulu VA Regional Office Director strengthen the review process for higher levels of special monthly compensation and ancillary benefits claims.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Honolulu VA Regional Office Director implement a plan to ensure oversight and prioritization of benefits reduction cases.