Open Recommendations
| Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
|---|---|---|---|---|---|
| 1 | No | $75,114 | $3,328 | ||
| Take appropriate actions to correct the remaining 31 critical payments. | |||||
| 2 | Yes | $0 | $0 | ||
| To prevent future errors, implement a control in the Critical Payment System (CPS) to flag incorrect or mismatched manual payment entries based on the most current Payment History Update System (PHUS) entry (when available) before processing a critical payment. | |||||
| 3 | Yes | $10,267,226 | $1,353,856 | ||
| To prevent future errors, establish a control that alerts processing center (PC) employees when manual action on a CPS output does not address an overpayment currently established on a beneficiary’s record. | |||||
| 4 | Yes | $0 | $0 | ||
| To prevent future errors, establish a control in CPS to ensure employees consider any overpayments present on a beneficiary’s Recovery of Overpayments, Accounting and Reporting when issuing critical payments. | |||||
| 5 | No | $0 | $0 | ||
| Update policy to guide PC employees in adjusting the CPS and overpayment records when they receive CPS outputs. | |||||
| 6 | No | $0 | $0 | ||
| Update national procedure with processing instructions for adjustment to PHUS, depending on whether the replacement payment event is present or not. | |||||
| 7 | No | $0 | $0 | ||
| Evaluate current CPS procedures and strengthen controls to ensure PC and field office employees follow established protocols, including steps to handle allegations of non-receipt of payments. | |||||