Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of care delivered at vet centers. This report focused on Midwest district 3 zone 3 and four selected vet centers: Columbia, Missouri; Fargo, North Dakota; Omaha, Nebraska; and Sioux Falls...

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient settings of the Lexington VA Health Care System and associated outpatient clinics in Kentucky. This evaluation focused on five key...

The Semiannual Report to Congress summarizes the results of VA OIG oversight, provides statistical information, and lists all reports issued from April 1 to September 30, 2022. During this reporting period, VA OIG audits, evaluations, investigations, inspections, and other reviews identified more...

The VA Office of Inspector General (OIG) contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements as of September 30, 2022 and 2021, and for the fiscal years then ended. CLA provided an unmodified opinion on VA’s financial statements for...

The VA Office of Inspector General (OIG) conducted a review to assess the merits of a January 2022 hotline allegation concerning inappropriate edits to community care referrals, known as consults, at the Puget Sound VA Health Care System in Seattle, Washington. The VA MISSION Act of 2018 allows...

The VA Office of Inspector General (OIG) conducted this review to determine whether community care providers are receiving potential duplicate payments for the same healthcare services from VHA and Medicare and to determine whether VHA paid any of these claims without authorization. In this review...

This management advisory memorandum has been issued to raise awareness among Veterans Benefits Administration (VBA) leaders and personnel about VA Office of Inspector General (OIG) concerns with decision-making on specific issues (highlighted in four prior reports) that adversely affect some...

The VA Office of Inspector General (OIG) conducted this review to determine whether the Compensation Service complied with accessibility requirements for communicating benefits- related information to veterans with visual impairments. The OIG found that VBA’s Compensation Service did not fully...

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient settings of the Louisville VA Medical Center and associated outpatient clinics in Indiana and Kentucky. This evaluation focused on five...

The Pandemic Response Accountability Committee’s (PRAC) Health Care Subgroup developed this report to share insights about the expansion—and the emerging risks—of telehealth in selected programs across six federal agencies during the first year of the COVID-19 pandemic. The selected programs, which...