The Railroad Retirement Board was Not Compliant with the Payment Integrity Information Act for Fiscal Year 2021

Submitting OIG:

Railroad Retirement Board OIG

Date Issued:

Thursday, June 16, 2022

Agency Reviewed / Investigated:

Railroad Retirement Board

Submitting OIG-Specific Report Number:

22-08

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

Funds for Better Use:

Number of Recommendations:

View Document:

Attachment	Size
Report-22-08.pdf	931.55 KB

Recommendation Number	Recommendation Status	Significant Recommendation
1	Open	No
The Office of Programs should post Railroad Medicare program payment integrity information in the annual financial statement and accompanying materials on the agency website, in accordance with the Payment Integrity Information Act of 2019 and the Office of Management and Budget's data call requirements, until the Railroad Retirement Board formalizes an agreement with the Centers for Medicare and Medicaid Services to take over reporting for Railroad Medicare.
2	Open	No
The Office of Programs should publish unknown 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.
3	Open	No
The Office of Programs should develop and publish a Railroad Medicare corrective action plan in accordance with Office of Management and Budget directives.
4	Open	No
The Office of Programs should publish improper payment and unknown payment reduction targets for the Railroad Medicare Program in accordance with the annual Office of Management and Budget Data Call requirements.
5	Open	No
The Office of Programs should demonstrate improvement and develop a plan to meet the published improper payment and unknown payment reduction targets for the Railroad Medicare Program in accordance with the Office of Management and Budget directives.
6	Open	No
The Office of Programs should report an improper payment and unknown payment rate of less than 10 percent for the Railroad Medicare program.
7	Open	No
The Office of Programs should accept responsibility and accountability for the Railroad Medicare Program to further improve prevention and ensure that improper payments and unknown payments are minimized.
9	Open	No
The Office of Programs should establish procedure to ensure timely revision of improper payment methodology and procedure to reflect the most recent Office of Management and Budget guidance and requirements.

Recommendation Number

Recommendation Status

Significant Recommendation

Additional Details

Open

The Office of Programs should post Railroad Medicare program payment integrity information in the annual financial statement and accompanying materials on the agency website, in accordance with the Payment Integrity Information Act of 2019 and the Office of Management and Budget's data call requirements, until the Railroad Retirement Board formalizes an agreement with the Centers for Medicare and Medicaid Services to take over reporting for Railroad Medicare.

Open

The Office of Programs should publish unknown 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.

Open

The Office of Programs should develop and publish a Railroad Medicare corrective action plan in accordance with Office of Management and Budget directives.

Open

The Office of Programs should publish improper payment and unknown payment reduction targets for the Railroad Medicare Program in accordance with the annual Office of Management and Budget Data Call requirements.