The Railroad Retirement Board was Not Compliant with the Payment Integrity Information Act for Fiscal Year 2020

Submitting OIG:

Railroad Retirement Board OIG

Date Issued:

Monday, May 17, 2021

Agency Reviewed / Investigated:

Railroad Retirement Board

Submitting OIG-Specific Report Number:

21-05

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

Funds for Better Use:

Number of Recommendations:

Recommendation Number	Recommendation Status	Significant Recommendation
21-05, 1	Open	No
The Office of Programs should publish Railroad Medicare program payment integrity information in accordance with the Payment Integrity Information Act of 2019 and the Office of Management and Budget's data call requirements until it formalizes an agreement with the Centers for Medicare and Medicaid Services to take over reporting for Railroad Medicare.
21-05, 2	Open	No
The Office of Programs should publish improper payment estimates for the Railroad Medicare program in the Office of Management and Budget's data calls, until the Office of Management and Budget formally approves the Railroad Retirement Board's discontinuation of reporting or approves an agreement between the Centers for Medicare and Medicaid Services and the Railroad Retirement Board on how Railroad Medicare will be reported.
21-05, 3	Open	No
The Office of Programs should develop and publish corrective action plan information in accordance with the Office of Management and Budget directives.
21-05, 4	Open	No
The Office of Programs should publish reduction targets for the Railroad Medicare program in accordance with the annual Office of Management and Budget Data Call requirements.
21-05, 5	Open	No
The Office of Programs should meet the published reduction targets for the Railroad Medicare program.
21-05, 6	Open	No
The Office of Programs should report an improper payment rate of less than 10 percent for the Railroad Medicare program in accordance with applicable laws and recommendations.
21-05, 7	Open	No
The Office of Programs should fully complete and publish all required payment integrity information as requested by the Office of Management and Budget's annual and supplemental data calls, until it formalizes an agreement with the Centers for Medicare and Medicaid Services to take over reporting for Railroad Medicare.
21-05, 8	Open	No
The Office of Programs should describe in its Performance and Accountability Report or Office of Management and Budget supplemental data call submission, the internal controls, human capital, its information systems and infrastructure needs, as well as its other program needs for reducing Railroad Medicare improper payments to the targeted levels, in accordance with the Office of Management and Budget's supplemental data call requirements.

Recommendation Number

Recommendation Status

Significant Recommendation

Additional Details

21-05, 1

Open

The Office of Programs should publish Railroad Medicare program payment integrity information in accordance with the Payment Integrity Information Act of 2019 and the Office of Management and Budget's data call requirements until it formalizes an agreement with the Centers for Medicare and Medicaid Services to take over reporting for Railroad Medicare.

21-05, 2

Open

The Office of Programs should publish improper payment estimates for the Railroad Medicare program in the Office of Management and Budget's data calls, until the Office of Management and Budget formally approves the Railroad Retirement Board's discontinuation of reporting or approves an agreement between the Centers for Medicare and Medicaid Services and the Railroad Retirement Board on how Railroad Medicare will be reported.

21-05, 3

Open