Federal Reports

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Intensity-modulated radiation therapy (IMRT) is an advanced type of radiation procedure used to treat difficult-to-reach tumors. National Government Services, Inc. (NGS), the Medicare Administrative Contractor responsible for processing Medicare payments for outpatient services in Jurisdictions 6 and K, incorrectly paid hospitals for IMRT services provided to nearly all of the beneficiaries associated with our review.

In most instances, Immigration and Customs Enforcement (ICE), Office of Professional Responsibility, Investigative offices accurately maintained equipment records and complied with vehicle and availability pay requirements. Offices were also accurate in accounting for all firearms. Investigative staff were diligent in complying with the DHS Management Directive relating to the referral of allegations. However, we noted deficiencies in compliance with evidence inventory requirements, and observed inaccuracies in ammunition records. We also found a systemic absence of training on certain firearms and problems with the timeliness of submitting investigative reports. Finally, we found that supervisors did not always review cases on a quarterly basis.

An Amtrak employee in Los Angeles, California, resigned from employment on December 4, 2018, following our investigation which revealed the employee stole money from the Employee Committee Fund. During an interview, the employee admitted to stealing over $20,000 from the fund and using the money to pay for personal expenses. The employee resigned from Amtrak immediately following the interview. Judicial proceedings are pending.