Federal Reports

To meet the healthcare needs of eligible veterans, VA contracts with community providers for dialysis. These contracted community providers must accurately price dialysis procedures when submitting claims for payment.
In October 2013, VA awarded a contract to a dialysis provider. When that contract expired in March 2019, the VA Office of Inspector General (OIG) was asked to assist in determining whether money was owed by either party. The OIG provided a report to VA with its finding and recommendation. During that audit, the OIG identified concerns related to pricing accuracy and local billings for both the expired contract and a new contract. As a result, the OIG conducted this attestation examination to determine whether the contractor complied with each contract’s billing terms and conditions.
In the OIG’s opinion, except for instances of incorrect billings to local VA facilities, the contractor’s assertion that it billed in accordance with the terms and conditions of its old and new contracts is fairly stated in all material respects. The OIG found fewer pricing errors in the new contract than the old. But the OIG also found the contractor incorrectly billed 1,212 claims to local VA facilities and received almost $6.4 million from these facilities. For some of these claims, the contractor billed both the Financial Services Center and a local VA facility, thereby receiving payments from both for the same claim. The contractor asserted that incorrect billings have stopped and that it had begun providing refunds. The OIG contacted eight VA facilities for confirmation of these refunds. Some of the eight facilities confirmed refunds, while others did not. Accordingly, the OIG made two recommendations to the contracting officers, requesting that the contractor perform a self-audit of local VA claims and verify that the contractor has completed the process of refunding local VA claims.

Thank you for inviting me here today to discuss the Office of Inspector General’s (OIG) oversight of Amtrak (the company) programs and operations. Although the Amtrak OIG is relatively small, I am proud of our extensive oversight record made through our audits, investigations, and other activities.

The company finds itself in a position unprecedented since it began operations in 1971. Not only is it charged with providing safe, efficient, and effective transportation to its customers, but it is now advancing the largest capital portfolio in its history. With access to as much as $66 billion from the Infrastructure Investment and Jobs Act (IIJA),1 the company is in varying stages of modernizing its fleet, tunnels, bridges, stations, and technology systems. At the same time, the company is pursuing ambitious goals of doubling pre‐pandemic ridership to 66 million by fiscal year (FY) 2040 and expanding service to as many as 160 new communities, all while adapting to changes in customer demand in the wake of the pandemic.

The volume of federal funds, the creation of a capital delivery function, and the massive hiring of workers to execute its plans present significant implementation risks and oversight challenges. That said, while the company is pursuing this once‐in‐lifetime effort, it must still meet obligations that are difficult under the best of circumstances: running a safe, efficient passenger railroad, pursuing financial stability, and providing excellent service to its customers. Our work demonstrates that Amtrak recognizes the complexity of this moment and is taking steps to proceed responsibly. Nevertheless, the scope of this undertaking is daunting and, in my opinion, requires robust, coordinated oversight by the OIG, Federal Railroad Administration (FRA), Amtrak’s Board of Directors, and Congress.

As I reported in the last three semi‐annual reports to Congress, Amtrak’s Board of Directors is an important element in ensuring the company fulfills its mission effectively and efficiently. The Senate’s recent confirmation of three Board members is encouraging and will help give Amtrak, the Administration, Congress, and the American taxpayers additional assurance that Amtrak has the necessary oversight as it implements historic federal investments. Notwithstanding this progress, the three other Board members are serving far beyond the five‐year terms of their Senate‐confirmed appointments, and we continue to emphasize the urgency to identify, nominate, and confirm additional qualified candidates to help oversee the company during this unprecedented era in passenger rail.

Finally, we trust that our work helps inform congressional oversight, as we provide additional information and insights regarding Amtrak’s stewardship of taxpayers’ funds. Among other duties, our office independently and objectively identifies risks and vulnerabilities that affect Amtrak’s mission and its responsibilities to its partners and the travelling public. With about 100 employees, we strategically align our resources to identify and address Amtrak’s most serious management and program challenges and develop recommendations for improved performance. The remainder of my written testimony focuses on the areas where we currently see the greatest challenges facing the company. These are: (1) running a safe and secure railroad, (2) responsibly executing its historic capital improvement plans, (3) maintaining efficient, reliable, and financially sound operations, and (4) reducing the ever‐present risk of fraud. I will also describe the issues our office has already addressed and the areas it plans to assess in the near future to help Amtrak meet these challenges.