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Source Id
324

Allegation of Underutilization of Mental Health Clinics, and Concern for Delays in Patient Care, at the Hinesville VA Clinic in Georgia

2025
24-00704-21
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of an allegation that select therapists do not maintain optimal utilization of individual mental health clinics and clinic administrative processes related to the Choose My Therapy (CMT) program...

VHA Policy and Practice Support Age-Specific Osteoporosis Screening in Women

2025
21-00524-25
Review
Department of Veterans Affairs OIG
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...

Inadequate Staff Training and Lack of Oversight Contribute to the Veterans Health Administration’s Suicide Risk Screening and Evaluation Deficiencies

2025
21-02939-13
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Healthcare Facility Inspection of the VA Northport Healthcare System in New York

2025
24-00589-17
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 Northport Healthcare System in New York. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Survivors Did Not Always Receive Accurate Retroactive Benefits for Dependency and Indemnity Compensation Claims Reopened Under the PACT Act

2025
23-03517-230
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Staff Incorrectly Processed Claims When Denying Veterans’ Benefits for Presumptive Disabilities Under the PACT Act

2025
24-00118-01
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Audit of VA’s Financial Statements for Fiscal Years 2024 and 2023

2025
24-00842-08
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Inspection of Information Security at the Health Eligibility Center in Atlanta, Georgia

2025
24-01232-02
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Independent Audit Report of a Dialysis Provider’s Contract Pricing and Billing Compliance

2024
22-02161-200
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Heart Transplant Program Review: Facility Leaders Failed to Ensure a Culture of Safety and the Section Chief Engaged in Unprofessional Conduct at the Richmond VA Medical Center in Virginia

2025
23-03526-07
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

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