Audit of the Defense Health Agency’s Reporting of Improper Payment Estimates for the Military Health Benefits Program

Submitting OIG:

Department of Defense OIG

Date Issued:

Tuesday, January 11, 2022

Agency Reviewed / Investigated:

Department of Defense

Submitting OIG-Specific Report Number:

DODIG-2022-052

Component, if applicable:

Defense Health Agency (DHA)

Under Secretary of Defense Comptroller/Chief Financial Officer

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

Funds for Better Use:

Number of Recommendations:

View Document:

Attachment	Size
DODIG-2022-052.pdf	10.72 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation	Additional Details
D-2022-0052-D000FL-0001-0001.a	Open
Rec. 1.a: The DoD OIG recommended that the Director of the Defense Health Agency develop and implement procedures to use the actual paid amounts in sample populations.
D-2022-0052-D000FL-0001-0001.b	Open
Rec. 1.b: The DoD OIG recommended that the Director of the Defense Health Agency update sampling methodology to consider data characteristics and ensure the sampling methodology is appropriate, including a reasonable number of sample items.
D-2022-0052-D000FL-0001-0001.c	Open
Rec. 1.c: The DoD OIG recommended that the Director of the Defense Health Agency evaluate and plan for necessary resources to ensure adequate reviews of payments and timely reporting of improper payment estimates.
D-2022-0052-D000FL-0001-0001.d	Open
Rec. 1.d: The DoD OIG recommended that the Director of the Defense Health Agency ensure that improper payment reviews use the definition of a payment that complies with the Payment Integrity Information Act of 2019.

Department of Defense OIG

Department of Defense

The Department of Defense Office of Inspector General was established in 1982. The mission of the DoD OIG, as established by the Inspector General Act of 1978, as amended, (5 U.S.C. Appendix); and implemented by DoD Directive 5106.01, "Inspector General of the Department of Defense," is to serve as an independent and objective office in DoD to:

a) conduct, supervise, monitor, and initiate audits, evaluations, and investigations relating to programs and operations of the Department of Defense,

b) provide leadership and coordination and recommend policies for activities designed to promote economy, efficiency, and effectiveness in the administration of, and to prevent and detect fraud and abuse in, such programs and operations,

c) provide a means for keeping the Secretary of Defense and the Congress fully and currently informed about problems and deficiencies relating to the administration of such programs and operations and the necessity for and progress of corrective action

http://www.dodig.mil

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Audit of the Defense Health Agency’s Reporting of Improper Payment Estimates for the Military Health Benefits Program

Related Open Recommendations