Federal Reports

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Nevada implemented some of the new criminal background check requirements established under the Child Care and Development Block Grant Act. However, certain criminal background check requirements for childcare providers remained unimplemented as of March 1, 2018, and significant challenges may delay full implementation until 2019 or 2020. According to Nevada officials, these challenges include decentralization of the background check processes. (Background checks are conducted by different entities, depending on the provider type.)

Some chiropractic services that Etheredge billed were not allowable in accordance with Medicare requirements. Of the 100 chiropractic services in our sample, 67 were allowable in accordance with Medicare requirements. However, the remaining 33 were not allowable: 31 services were medically unnecessary and 2 were not documented. As a result, Etheredge received $1,042 in unallowable payments. On the basis of our sample results, we estimated that Etheredge received unallowable Medicare payments of at least $169,737 for 2014 and 2015. As of the publication of this report, this unallowable amount includes claims outside of the 4-year claims reopening period.

In a previous audit - the Performance Audit of USCP Controls Over Evidence, Report Number OIG-2015-03, dated March 2015 - the Office of Inspector General (OIG) found that the United States Capitol Police (USCP or the Department) should improve internal controls for ensuring the integrity of physical evidence collected, secured, and processed. As a part of its general oversight responsibility for USCP, OIG conducted a follow-up analysis of the Department's implementation of recommendations contained in Report Number OIG-2015-03. Our objective was to confirm the Department took the corrective actions in implementing the recommendations. Our scope included existing controls over evidence related to the implementation of recommendations as outlined in our previous report.

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The OIG’s data analysis identified Raleigh, NC, Westgate Passport Facility had local purchases totaling $12,725, or 41 percent of all local purchases in the Greensboro District, for the period January 1 through March 31, 2018. It is unusual for one office to have such a high percentage of local purchases as it relates to other offices in the same district. Our objective was to determine whether local purchases and payments were valid and properly supported at the Raleigh, NC, Westgate Passport Facility.