Followup of Delinquent Medical Service Account Audits

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Date Issued

Wednesday, December 19, 2018

Submitting OIG

Department of Defense OIG

Other Participating OIGs

Department of Defense OIG

Agencies Reviewed/Investigated

Department of Defense

Components

United States Navy (USN)

United States Army (USA)

United States Air Force (USAF)

Defense Health Agency (DHA)

Report Number

DODIG-2019-038

Report Type

Audit

Agency Wide

Yes

Number of Recommendations

Questioned Costs

Funds for Better Use

$2,400,000

Open Recommendations

This report has 6 open recommendations.

Recommendation Number	Significant Recommendation	Recommended Questioned Costs	Recommended Funds for Better Use
D-2019-0038-D000CL-0001-0001.A1a	No	$0	$0
Rec. A.1.a: The DoD OIG recommended that the Defense Health Agency Director coordinate with Brooke Army Medical Center and Landstuhl Regional Medical Center management, through U.S. Army Medical Command, to develop a plan to review the delinquent debt identified in the prior audit reports, Report No. DODIG-2014-101 and DODIG-2016-079.
D-2019-0038-D000CL-0001-0001.A1b	No	$0	$0
Rec. A.1.b: The DoD OIG recommended that the Defense Health Agency Director implement guidance and require all Services to develop procedures to review and process their old delinquent accounts.
D-2019-0038-D000CL-0001-0001.A1c	No	$0	$0
Rec. A.1.c: The DoD OIG recommended that the Defense Health Agency Director coordinate with U.S. Army Medical Command to assist U.S. Army Medical Command officials with obtaining the authority from the Office of the Secretary of the Army to terminate uncollectible debt under $100,000.
D-2019-0038-D000CL-0001-0001.A1d	No	$0	$0
Rec. A.1.d: The DoD OIG recommended that the Defense Health Agency Director establish and implement guidance for all Services to review uncollectible accounts and obtain approval from the proper authority to terminate debt.
D-2019-0038-D000CL-0001-0001.A1p	No	$0	$0
Rec. A.1.p: The DoD OIG recommended that the Defense Health Agency Director review all billing processes, including the use of Centralized Receivables Service, and determine a billing process that would be in the best interest of all Services.
D-2019-0038-D000CL-0001-0002.A2	No	$0	$0
Rec. A.2: The DoD OIG recommended that the Commander of the U.S. Army Medical Command update applicable regulations to identify U.S. Army Medical Command as the debt termination authority if U.S. Army Medical Command officials obtain the authority from the Secretary of the Army.