Department of Veterans Affairs OIG

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns related to the care provided to a patient who was mistakenly treated with phototherapy for bed bugs and developed complications. Two days after receiving the phototherapy treatment, the patient was...

Acting on a hotline complaint, the VA Office of Inspector General (OIG) reviewed whether a VA-contracted disability medical exam provider—Medical Support Los Angeles—had the capacity to complete scheduled exams, and whether Veterans Benefits Administration (VBA) staff were canceling and rescheduling...

The VA Office of Inspector General (OIG) conducted this review to determine whether the Veterans Benefits Administration (VBA) had adequate controls in place to ensure exempt veterans did not pay VA home loan guaranty funding fees and to refund fees previously charged to exempt veterans. Veterans...

The VA Office of Inspector General (OIG) conducted this review to determine whether VA complied with the Improper Payments Elimination and Recovery Act of 2010 (IPERA) for fiscal year (FY) 2018. IPERA requires federal agencies to review and identify programs and activities that may be susceptible to...

The Semiannual Report to Congress summarizes the results of OIG oversight, provides statistical information, and lists all reports issued October 1, 2018–March 31, 2019. During this reporting period, OIG audits, investigations, inspections, evaluations, and other reviews identified over $3.85...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Oscar G. Johnson VA Medical Center. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality...

The VA Office of Inspector General (OIG) conducted this review to determine whether the Veterans Benefits Administration (VBA) effectively planned and implemented the Decision Ready Claims (DRC) program. The DRC program was intended to streamline the processing of veterans’ claims applications by...

The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Benefits Administration (VBA) staff properly created deferrals for disability compensation claims in its web based electronic program and if they resolved these deferrals in a timely manner. VBA claims...

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to allegations related to the facility’s inpatient mental health unit, specific to the subpopulation of patients with a diagnosis of dementia. The OIG team made two visits to the facility in 2017 and 2018. The OIG...

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the facility to assess allegations regarding an orthopedic surgeon’s failure to adequately assess two patients (Patient Red and Patient Blue), improper orthopedic surgeon fee-for-service (fee) use, and facility leaders’...