Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to an allegation that a urologist perforated two patients’ organs during procedures. Patients’ organs were perforated by the urologist. The OIG found the facility conducted management reviews and facility leaders...

The OIG conducted this review to determine the risk of the Veterans Health Administration (VHA) improperly paying community care providers for evaluation and management services not supported by medical documentation.The review team found that some providers are billing VA at a significantly higher...

The Office of Community Care, part of the Veterans Health Administration (VHA), manages programs that allow veterans to receive medical care from non VA providers. This audit evaluated whether VHA paid for non-VA acupuncture and chiropractic care that was not authorized or supported by medical...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of Veterans Health Administration facilities’ selected Women’s Health (WH) program requirements. This evaluation focused on provision of care requirements, oversight of program and...

The VA Office of Inspector General (OIG) examined whether the Veterans Health Administration (VHA) implemented data collection and reporting systems to report on the supply of COVID-19 vaccines to VA medical facilities and doses administered to VA employees and veterans enrolled in VA’s healthcare...

The Federal Risk and Authorization Management Program (FedRAMP) standardizes security and risk assessments for cloud technologies for federal agencies, including VA. In April 2019, the VA Office of Inspector General (OIG) received allegations that VA’s Office of Information and Technology’s (OIT’s)...

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This report focuses on Continental district 4 zone 1 and four selected vet centers: Casper, Wyoming; Denver, Colorado; and El Paso and...

The OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements. This audit is an annual legislative requirement. CLA provided an unmodified opinion on VA’s financial statements for FY 2021 and FY 2020. It identified three material...

The VA Office of Inspector General (OIG) conducted an inspection to assess concerns regarding delays in clinical care and deficiencies in care coordination that led to a delay in the diagnosis of lung cancer in a patient who died at the Raymond G. Murphy VA Medical Center (facility). The OIG also...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network (VISN) 1: VA New England Healthcare System in Bedford, Massachusetts, covering leadership and...