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Where To Report Waste
Fraud, Abuse, Or Retaliation
Where To Report Waste Fraud, Abuse, Or Retaliation

Inspector General Open Recommendations

11/28/2022 - Department of Commerce FirstNet Authority Could Not Demonstrate Investment Decisions Were the Best Use of Reinvestment Funds or Maximized the Benefits to Public Safety [Report Details] Audit - Open Recommendations

11/28/2022 - U.S. Agency for International Development Financial Audit of USAID Resources Managed by Virunga Foundation in the Democratic Republic of the Congo Under Cooperative Agreement 72066019CA00001, July 22, 2019, to December 31, 2021 [Report Details] Other - Open Recommendations

11/28/2022 - U.S. Agency for International Development Financial Audit of Directorate of Major Infrastructure of FHIS/SEDECOAS Under Multiple Awards in Honduras, January 1, 2019, to December 31, 2020 [Report Details] Other - Open Recommendations

11/23/2022 - U.S. Agency for International Development Financial Audit of USAID Resources Managed by Christian Health Association of Kenya Under Multiple Awards, January 1 to December 31, 2021 [Report Details] Other - Open Recommendations

11/23/2022 - U.S. Agency for International Development Financial Audit of USAID Resources Managed by West and Central African Council for Agricultural Research and Development in Multiple Countries Under Cooperative Agreement AID-624-A-17-00002, January 1 to December 31, 2021 [Report Details] Other - Open Recommendations

11/22/2022 - Department of Commerce Simulated Internal Cyber Attack Gained Control of Critical Census Bureau System [Report Details] Inspection / Evaluation - Open Recommendations

10
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer conduct a full after-action review on the detailed red team report and develop a corrective action plan to resolve specific issues identified by the red team, as appropriate, and based on risk.
9
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer formalize and continue to perform a process of cleaning and removing legacy code in Bureau systems.
8
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer establish a process to periodically test and inspect Bureau websites and web applications for vulnerabilities and susceptibility of malicious input.
7
Sensitive recommendation
6
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer update logging configuration requirements to collect information necessary for reporting breaches related to sensitive PII.
5
Implement a control for sensitive data.
4
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer verify that file shares containing PII have (a) proper permissions that follow least privilege principles and (b) permissions that follow least privilege principles and (b) permissions are periodically reviewed.
3
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer develop alerts that align with common detection methods for known attacks and periodically verify that these detection methods remain current and effective.
2
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer implement advanced authentication security controls and verify proper protection against the discovered vulnerabilities.
1
We recommend that the Director of the U.S. Census Bureau ensure that the Bureau's Chief Information Officer implement a process to periodically review and verify that Active Directory permissions are protected from common attaacks, are aligned to least privilege principles, and that configurations adhere to least functionality principles.

11/22/2022 - Department of Health & Human Services Medicare Improperly Paid Physicians for Co-Surgery and Assistant-at-Surgery Services That Were Billed Without the Appropriate Payment Modifiers [Report Details] Audit - Open Recommendations

23-A-01-018.04
We recommend that the Centers for Medicare & Medicaid Services update its Medicare requirements and corresponding educational material to improve providers' understanding of the Medicare Part B billing requirements for co-surgery procedures, including: updating the Medicare Claims Processing Manual, chapter 12, section 40.8, to ensure billing providers understand that two physicians performing procedures as co-surgeons (including bilateral procedures) must append the co-surgery modifier regardless of whether they are in the same specialty or in different specialties, and providing additional education material to providers clarifying that spinal instrumentation procedure codes must be billed with a co-surgery modifier under Medicare Part B when performed as a co-surgery.
23-A-01-018.03
We recommend that the Centers for Medicare & Medicaid Services strengthen its system controls to detect and prevent improper payments to providers for incorrectly billed: (1) co-surgery services, (2) assistant-at-surgery services, and (3) duplicate services—which could have saved approximately $4,939,586 during our audit period.
23-A-01-018.02
We recommend that the Centers for Medicare & Medicaid Services instruct the MACs to, based on the results of this audit, notify appropriate providers (i.e., those for whom CMS determines this audit constitutes credible information of potential overpayments) so that the providers can exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

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