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Report File
Date Issued
Submitting OIG
Social Security Administration OIG
Other Participating OIGs
Social Security Administration OIG
Agencies Reviewed/Investigated
Social Security Administration
Report Number
012310
Report Description

Objective: To determine whether the Social Security Administration timely and accurately processed cases where a beneficiary's Medicare premium was higher than the Agency benefit payment.

Report Type
Audit
Agency Wide
Yes
Number of Recommendations
3
Questioned Costs
$166,561,112
Funds for Better Use
$0

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $249,304 $0 Agree

Correct the processing or payment errors in our sample that resulted in an overage or arrearage to the beneficiaries or incorrect updates to beneficiary records.

2 No $166,311,808 $0 Agree

Create uniform guidance or policy, providing comprehensive instructions on how to properly process this cyclical workload, possibly using the different training guides already developed by the Social Security Administration.

3 No $0 $0 Agree

Re-evaluate this workload with the Centers for Medicare & Medicaid Services (CMS) to determine whether the current process can be improved based on the changes in technology and CMS capabilities.

Social Security Administration OIG

United States