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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
Board of Governors of the Federal Reserve System
Federal Financial Institutions Examination Council Financial Statements as of and for the Years Ended December 31, 2020 and 2019, and Independent Auditors’ Reports
Our objective for this report was to assess the extent to which the company is incorporating its injury claims financial data into its Safety Management System (SMS).We found that the company’s Safety and Operations departments currently use injury and accident reports to identify the most frequent incidents in their efforts to assess and manage safety risks and inform the SMS. These departments have not, however, had regular access to company data on employee and passenger injury claims, including settlement data, which resides with the company’s claims group. Our work determined these data could allow the Safety and Operations departments to better identify additional risks and mitigation strategies and, in turn, help improve safety outcomes and minimize the impact of safety incidents on the company.We recommended that the company develop a policy and process to regularly share legally appropriate injury claims data internally and use these data to help identify and mitigate safety risks as part of its risk management process.
The Office of Inspector General (OIG) performed an audit of the Research, Education, and Economics mission area within the U.S. Department of Agriculture (USDA) to test its controls to prevent, detect, mitigate, and recover from a ransomware attack.
Under the home health prospective payment system (PPS), the Centers for Medicare & Medicaid Services pays home health agencies (HHAs) a standardized payment for each 60-day episode of care that a beneficiary receives. The PPS payment covers intermittent skilled nursing and home health aide visits, therapy (physical, occupational, and speech-language pathology), medical social services, and medical supplies.Our prior audits of home health services identified significant overpayments to HHAs. These overpayments were largely the result of HHAs improperly billing for services to beneficiaries who either were not confined to home (homebound) or were not in need of skilled services.Our objective was to determine whether Brookdale Home Health, LLC (Brookdale), complied with Medicare requirements for billing home health services on selected types of claims.
