Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a national review of the Veterans Health Administration (VHA) to assess the policy pertaining to osteoporosis screening and to determine osteoporosis screening rates in women patients enrolled in VHA primary care who are age 65 and older...

The VA Office of Inspector General (OIG) conducted a national review to evaluate the Veterans Health Administration’s (VHA’s) suicide risk screening and evaluation training, adherence, and oversight procedures. VHA’s standardized Suicide Risk Identification Strategy (Risk ID) process requires annual...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Northport Healthcare System in New York. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Dependency and Indemnity Compensation is a monthly benefit paid to eligible survivors of service members who died in the line of duty or as a result of a service related injury or illness. Under the PACT Act, survivors with previously denied claims may be newly eligible for Dependency and Indemnity...

The PACT Act significantly expanded veterans’ eligibility for disabilities that VA presumes are related to exposure to toxic substances. The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Benefits Administration (VBA) staff processed PACT Act claims for...

The VA OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements as of the end of fiscal years (FYs) 2024 and 2023. CLA provided an unmodified opinion and noted material weaknesses and significant deficiencies in internal control and...

The VA Office of Inspector General’s information security inspection program assesses whether VA facilities are meeting federal security requirements related to four control areas the OIG determined to be at highest risk. For this inspection, the OIG selected the Health Eligibility Center (HEC) in...

To meet the healthcare needs of eligible veterans, VA contracts with community providers for dialysis. These contracted community providers must accurately price dialysis procedures when submitting claims for payment. In October 2013, VA awarded a contract to a dialysis provider. When that contract...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review allegations regarding the heart transplant program and the performance and behavior of the cardiothoracic section chief (section chief). The OIG also reviewed the temporary inactivation of the heart transplant...

The Office of Inspector General (OIG) Care in the Community program evaluates selected performance elements of the Veterans Health Administration (VHA) Veterans Community Care Program. The resulting report describes selected care coordination activities required to initiate and process referrals for...