Audit of Railroad Retirement Board's Compliance with Improper Payments Elimination and Recovery Act in Fiscal Year 2018 Performance and Accountability Report

Submitting OIG:

Report Description:

Date Issued:

Thursday, May 30, 2019

Agency Reviewed / Investigated:

Railroad Retirement Board

Submitting OIG-Specific Report Number:

19-09

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

Funds for Better Use:

Number of Recommendations:

View Document:

Attachment	Size
Audit Report 19-09.pdf	4.75 MB

Recommendation Number	Recommendation Status	Significant Recommendation
19-09, 1	Open	No
We recommend that the Office of Programs submit a plan, within 90 days, to the Senate Committee on Homeland Security and Governmental Affairs, the House Committee on Oversight and Government Reform, and the Office of Management and Budget, describing the actions that the agency will take to become compliant.
19-09, 2	Open	No
We recommend that the Office of Programs achieve a gross improper payment rate of less than 10 percent for Railroad Medicare. The Office of Programs through the Railroad Retirement Board’s Specialty Medicare Administrative Contractor should continue to work with Medicare providers to communicate the documentation requirements and monitor the adherence to such requirements throughout the year.
19-09, 4	Open	No
We recommend that the Office of Programs obtain and maintain the applicable Railroad Medicare sampling and estimation plan agency certification. It must be a Centers for Medicare and Medicaid Services’ certification, Railroad Retirement Board Chief Financial Officer’s certification, or other Railroad Retirement Board program official’s certification.
19-09, 5	Open	No
We recommend that the Office of Programs obtain the Railroad Medicare sampling and estimation plan for the fiscal year 2019 payment integrity reporting cycle.
19-09, 6	Open	No
We recommend that the Office of Programs establish a written policy to ensure subsequent Railroad Medicare sampling and estimation plans are obtained and readily available for review so that a qualified statistician would be able to replicate what was done or so that Office of Management and Budget, agency Inspector General, or Government Accountability Office personnel can evaluate the design.
19-09, 7	Open	No
We recommend that the Office of Programs submit the Railroad Medicare sampling and estimation plan for fiscal year 2019 to the Office of Management and Budget by the June 30th deadline.
19-09, 8	Open	No
We recommend that the Office of Programs obtain the Office of Management and Budget approval for Railroad Medicare’s overall reduction target rate.
19-09, 9	Open	No
We recommend that the Office of Programs and the Office of Administration work together to update the Memorandum of Understanding (MOU13-61) to describe the applicable agency responsibilities as they pertain to Improper Payments Elimination and Recovery Act laws and Office of Management and Budget guidance for payment integrity reporting.
19-09, 10	Open	No
We recommend that the Office of Programs include a brief narrative of the reduction in improper payments that is attributable to the Do Not Pay Initiative for Railroad Medicare and associated systems.
19-09, 11	Open	No
We recommend that the Office of Programs identify, publish, and provide a justification for Railroad Medicare uncollectible amounts.

Recommendation Number

Recommendation Status

Significant Recommendation

Additional Details

19-09, 1

Open

We recommend that the Office of Programs submit a plan, within 90 days, to the Senate Committee on Homeland Security and Governmental Affairs, the House Committee on Oversight and Government Reform, and the Office of Management and Budget, describing the actions that the agency will take to become compliant.

19-09, 2

Open

We recommend that the Office of Programs achieve a gross improper payment rate of less than 10 percent for Railroad Medicare. The Office of Programs through the Railroad Retirement Board’s Specialty Medicare Administrative Contractor should continue to work with Medicare providers to communicate the documentation requirements and monitor the adherence to such requirements throughout the year.

19-09, 4

Open