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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Veterans Affairs
Rating Schedule Updates for Hip and Knee Replacement Benefits Were Not Consistently Applied
The Veterans Benefits Administration (VBA) uses the VA Schedule for Rating Disabilities (rating schedule) to determine monthly compensation to eligible veterans for service connected disabilities based on documented medical severity. In 2021, VA updated the rating schedule for the musculoskeletal body system. The VA Office of Inspector General (OIG) reviewed the effectiveness of VBA’s implementation of the changes to the rating schedule specifically for hip and knee replacements or resurfacing.The OIG estimated that in approximately 33 percent of reviewed claims, VBA rating specialists did not assign the correct number of months when granting periods of convalescence. Ratings specialists lack effective tools to determine convalescence benefits and help calculate the proper period. The specialists rely on manually entered dates, increasing the risk of error. Approximately 18 percent of claims did not accurately consider veterans’ additional entitlement to special monthly compensation, and an estimated 38 percent resulted in improper payments of about $3.3 million dollars in total benefits overpayments and underpayments. Further, VBA did not sufficiently monitor claims decision accuracy following the rating schedule update. The OIG team also determined that although VBA provided training on the rating schedule update, nearly 75 percent of staff did not achieve a passing score of 80 percent and required retraining.The under secretary for benefits concurred with the OIG’s four recommendations: (1) review hip and knee replacements and resurfacing claims completed from February 7, 2021, through August 31, 2022, to ensure benefits to veterans were correct; (2) implement a plan to assist rating specialists in determining accurate benefits; (3) develop procedures to monitor claims and ensure processing is compliant with rating schedule revisions; and (4) supplement training on rating schedule updates to improve comprehension on applying changes.
What We Looked At The Coronavirus Aid, Relief, and Economic Security (CARES) Act provided the Federal Aviation Administration (FAA) with $10 billion in funding, including about $525 million for airport development expenses. FAA distributed these funds through its Airport Improvement Program (AIP), which requires grant recipients to comply with various Federal procurement requirements, including Buy American Preferences. Previous Office of Inspector General (OIG) audits identified weaknesses in FAA’s processes for awarding and administering AIP grants and its oversight of CARES Act funds. Given the size of the funding allocation, its expeditious distribution, and related findings in prior reports, we initiated this audit. Our objectives were to evaluate FAA’s processes for (1) awarding and administering CARES Act-funded airport development grants and (2) overseeing associated recipient contracts to ensure compliance with Federal and Agency grant and procurement requirements. What We Found FAA did not always follow its processes for awarding and administering its CARES Act airport development grants. Specifically, FAA did not carefully review development grant applications before it distributed CARES Act funds over 20 percent of the time and did not always require sponsors to submit annual financial reports on time. Although the Agency strengthened its oversight of CARES Act-funded invoices, it did not effectively communicate and adhere to these changes. These oversight gaps prevent FAA from assuring that the program operates as intended and in a fiscally responsible manner. FAA’s CARES Act-funded airport development contracts also did not meet several key Federal requirements. The Agency did not ensure that sponsors met the requirements for completing cost or price analyses in more than 55 percent of contracts we reviewed. FAA also did not always ensure that Buy American waivers met all requirements prior to approval. Thus, FAA cannot be certain that project costs were reasonable or that sponsors complied with Made in America Laws. These issues result in a total of $106 million in funds at risk for better use. Our Recommendations We made eight recommendations to strengthen FAA’s oversight of CARES Act funds for airport development projects. FAA concurred with all eight recommendations and provided appropriate completion dates. We consider all recommendations resolved but open pending completion of the planned actions.
Notification of Concerns Regarding Federal Bureau of Prisons' Policies Pertaining to Special Housing Unit Logs Used to Record Mandatory Rounds and the Retention Period for the Original Logs
Financial Audit of the Community of Special Coffees Project, Managed by Central de Organizaciones Productoras de Caf y Cacao del Per, Cooperative Agreement 72052721CA00006, September 15, 2021, to December 31, 2022
Financial Audit of Sindh Municipal Services Delivery Program in Pakistan Managed by the Government of Sindh Planning and Development Department, Grant 391-PEPA-DG-S-MSP-2011-01, July 1, 2021, to June 30, 2022.
Financial Audit of the Khyber Pakhtunkhwa Reconstruction Program in Pakistan Managed by the Provincial Reconstruction Rehabilitation and Settlement Authority, Provincial Disaster Management Authority, Agreement 391-011, for the year ended June 30, 2022
Financial Audit of USAID Resources Managed by Ajuda de Desenvolvimento de Povo para Povo in Angola Under Multiple Awards, January 1 to December 31, 2022
OIG reviewed the U.S. Small Business Administration’s (SBA’s) Controls Over Cash Contributions and Gifts, Fiscal Year 2023. SBA’s authority to receive and use cash contributions and gifts is in Section 132(a) of Division K in Public Law 108-447.SBA complied with the Consolidated Appropriations Act and SBA regulations and policies regarding soliciting and accepting cash contributions from six new entities that cosponsored the 2023 event. SBA’s Office of Communications and Public Liaison obtained proper approval from the Office of General Counsel for the National Small Business Week cosponsored activity. However, we noted SBA did not ensure the timely and accurate closeout of the 2023 event in accordance with standard operating procedures.We made one recommendation for SBA to fully implement a 90-day closeout process for National Small Business Week as outlined in Standard Operating Procedure 90 75 5. SBA management agreed with the recommendation, stating the Office of Strategic Alliances plans to closeout National Small Business Week 2024 no later than August 1, 2024.