Department of Veterans Affairs

The Semiannual Report to Congress summarizes the results of OIG oversight, provides statistical information, and lists all reports issued April 1–September 30, 2017. During this reporting period, OIG audits, investigations, inspections, evaluations, and other reviews identified over $9 billion in...

In response to a hotline complaint, the Office of Inspector General (OIG) reviewed allegations that the Carl T. Harden VA Medical Center (VAMC) in Phoenix, AZ did not consistently process beneficiary travel mileage claims. In response, OIG determined whether the VAMC reimbursed beneficiaries more...

OIG received an anonymous allegation that Veterans Service Center (VSC) staff at the Roanoke VA Regional Office (VARO) combined appeals to lower the pending inventory and achieve production goals by entering incorrect data into VA’s electronic system. OIG reviewed 331 appeal records that were closed...

OIG conducted a healthcare inspection in response to an allegation received in 2016 that a patient died of an accidental methadone overdose 2 days after receiving a prescription for methadone from a primary care physician (PCP) at the Grand Junction VA Health Care System (System), Grand Junction, CO...

The VA OIG conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the James J. Peters VA Medical Center (facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational...

Report Summary: The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Long Beach Healthcare System (facility). The review covered key clinical and administrative processes associated with promoting...

In House Report (H. Rept. 114-497) to accompany the House of Representatives, Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2017 (H.R. 4974), the Committee on Appropriations requested the OIG review VA’s reimbursement of the Department of the Treasury’s Judgment...

In September 2016, a complainant and letters from several Senators and Representatives alleged the Eastern Colorado Health Care System (ECHCS) used unofficial wait lists for group therapies. Also alleged was that the Colorado Springs Community Based Outpatient Clinic did not take timely action on...

OIG conducted a healthcare inspection in response to requests from Senator Cory Booker, Senator Robert Menendez, and Congressman Frank LoBiondo to assess concerns that a patient’s insufficient access to timely mental health (MH) care may have contributed to the patient’s suicide and that general...