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Source Id
324

Improper Processing of Automated Pension Reductions Based on Social Security Cost of Living Adjustments

2022
20-03898-236
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Social Security payments may increase annually based on changes to the cost of living. When this happens, the Veterans Benefits Administration (VBA) reduces pensions for veterans and other beneficiaries because they are receiving more income from another source. The OIG received two allegations in...

VBA Could Improve the Accuracy and Completeness of Medical Opinion Requests for Veterans’ Disability Benefits Claims

2022
22-00404-207
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

For veterans seeking disability compensation benefits, the Veterans Benefits Administration (VBA) requires a disability exam to determine the severity of a disability or a medical opinion on whether a current condition can be connected to military service. VBA has committed an estimated total of $6...

Personnel Suitability Process Concerns at the Beckley VA Medical Center in West Virginia

2023
21-03718-47
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The personnel suitability program for the Veterans Health Administration (VHA) is intended to ensure that employees hired to care for patients or handle veterans’ sensitive information undergo background investigations and are suited to hold their positions. After a former nursing assistant pled...

Mistreatment and Care Concerns for a Patient at the VA Montana Healthcare System in Miles City and Fort Harrison

2023
22-01341-43
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review an allegation of abuse and quality of care concerns for a patient at the Fort Harrison VA Medical Center and the Miles City Community Living Center (CLC) in Montana. The OIG identified issues related to a pattern of...

Physician’s Falsification of VA Video Connect Blood Pressures at the North Las Vegas VA Medical Center in Nevada

2023
22-00707-44
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess concerns regarding a primary care provider (provider) potentially falsifying blood pressure readings (blood pressures) at the North Las Vegas VA Medical Center (facility) in Nevada.The OIG determined the provider...

Deficiencies in the Patient Safety Program and Oversight Provided by Facility and VISN Leaders at the Tuscaloosa VA Medical Center in Alabama

2023
22-00031-67
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed concerns related to the Patient Safety Program at the Tuscaloosa VA Medical Center (facility) and programmatic oversight provided by facility and Veterans Integrated Service Network (VISN) 7 leaders. While conducting a separate healthcare inspection...

Security and Incident Preparedness at VA Medical Facilities

2023
22-03770-49
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA is responsible for securing its 171 nationwide medical facilities. Persistent police staffing shortages and growing concerns about incidents that put VA staff, patients, and visitors at risk led the OIG to conduct this review to provide VA leaders with a snapshot of observed conditions. OIG teams...

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