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Source Id
324

Integrated Financial and Acquisition Management System Interface Development Process Needs Improvement

2025
24-00645-84
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

After previous failed attempts, VA is modernizing its finance and acquisition systems by implementing the Integrated Financial and Acquisition Management System (iFAMS). The system is being deployed by the Financial Management Business Transformation Service (FMBTS) in waves across VA. The six waves...

Improper Sharing of Sensitive Information on Cloud-Based Collaborative Applications

2025
24-01330-29
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG received a hotline allegation from a VA medical center employee regarding the improper sharing of sensitive information on VA’s internal network. The complainant reported that an employee could search for fellow employees on the internal network and find documents and emails that contained...

Delayed Diagnosis and Treatment for a Patient’s Lung Cancer and Deficiencies in the Lung Cancer Screening Program at the VA Eastern Kansas Healthcare System in Topeka and Leavenworth

2025
24-00990-99
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations related to a patient’s care and the lung cancer screening (LCS) program at the VA Eastern Kansas Healthcare System (system) in Topeka and Leavenworth. The OIG substantiated that a patient experienced a...

Veteran Self-Scheduling Process Needs Better Support, Stronger Controls, and Oversight

2025
24-01143-44
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Veterans are eligible to receive community care under certain circumstances, such as when their local VA medical facility does not provide the requested service or when a provider determines community care is in their best medical interest. In October 2020, the Veterans Health Administration’s (VHA)...

The PACT Act Has Complicated Determining When Veterans’ Benefits Payments Should Take Effect

2025
24-01153-41
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to determine whether claims processors are properly assigning effective dates when considering PACT Act–related claims. After reviewing a statistical sample of 100 PACT Act–related claims completed from August 10, 2022, through August 9...

Hiring of Claims Processors Generally Met Requirements and the Attrition Rate Remained Steady

2025
23-02778-51
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The expansion of benefits under the PACT Act of 2022 necessitated VBA increasing capacity to process the influx of claims. By September 2023, VBA had sought to hire 2,520 claims processors—veterans service representatives and rating veterans service representatives—and reported exceeding its goal by...

Lapse in Fiduciary Program Oversight Puts Some Vulnerable Beneficiaries at Risk

2025
24-01219-12
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VBA’s Fiduciary Program protects vulnerable individuals unable to manage their own VA benefits due to injury, disease, infirmities, or age. The program appoints and oversees fiduciaries to manage those payments. Each beneficiary must have a record in the Veterans Benefits Management System–Fiduciary...

Healthcare Facility Inspection of the VA Western Colorado Healthcare System in Grand Junction

2025
24-00595-93
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 Western Colorado Healthcare System in Grand Junction. This evaluation focused on five key content domains: • Culture • Environment of care...

A Prohibited Default in the Clinically Indicated Date Field Limited Some Veterans’ Eligibility for Community Care at the Omaha VA Medical Center in Nebraska

2025
24-02356-58
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG conducted this review to assess the merits of two hotline complaints—one in March 2024 and one in April 2024—alleging Omaha VA Medical Center leaders manipulated the clinically indicated date for consults, thereby limiting veterans’ access to community care. The OIG substantiated the...

Independent Audit Report on a Transportation Company’s Billing Practices Under a VA Healthcare System Contract

2025
22-02369-48
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA asked the OIG to conduct an audit of a contractor whose billing practices were concerning. The contractor, which provided eligible veterans with wheelchair van and other nonemergency transportation services to and from medical appointments in a certain VA healthcare system, invoiced VA about $11...

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