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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Health Resources and Services Administration
Report Number
A-02-21-01013
Report Type
Audit
Special Projects
Pandemic
Number of Recommendations
3
Questioned Costs
$294,294
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
23-A-02-088.02 No $0 $0

We recommend that HRSA identify additional improper UIP payments for services provided to insured individuals or services unrelated to COVID-19, which we estimate to be $783.6 million, and take remedial action.

23-A-02-088.03 No $0 $0

We recommend that HRSA commit to strengthening its procedures that may apply to future programs of a similar nature to expand insurance verifications using additional data fields on each patient for whom an SSN is not submitted as part of a prepayment check or postpayment review process to identify potential exact matches for health insurance coverage, ensure data sources used to verify health insurance coverage are reliable, and develop in a timely manner an assessment strategy to ensure claims are appropriately reimbursed to providers.

23-A-02-088.01 No $294,294 $0

We recommend that HRSA recover the $294,294 in improper UIP payments identified in our sample.

Department of Health & Human Services OIG

United States