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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Centers for Medicare and Medicaid Services
Report Number
A-09-22-03004
Report Type
Audit
Number of Recommendations
4
Questioned Costs
$0
Funds for Better Use
$127,981,462

Open Recommendations

This report has 4 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
23-A-09-066.01 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services establish a comprehensive data-sharing agreement with VHA for the ongoing sharing of data.

23-A-09-066.02 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services establish an interagency process to integrate VHA enrollment, claims, and payment data into the CMS IDR to identify potential fraud, waste, and abuse under the Medicare program.

23-A-09-066.03 No $0 $127,981,462

We recommend that the Centers for Medicare & Medicaid Services establish an internal process (such as system edits) to address duplicate payments made by Medicare for medical services authorized and paid for by VHA, which could have saved Medicare up to $128 million during our audit period.

23-A-09-066.04 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services issue guidance to providers on not billing Medicare for a medical service that was authorized by VHA.

Department of Health & Human Services OIG

United States