Federal Reports

This narrative report is a follow-up to our FY 2015 Federal Information Security Modernization Act (FISMA submission) to OMB FA-15-108-4 to provide findings and recommendations related to PBGC's information security program.PBGC made significant progress in addressing the security weaknesses noted in prior years. Prior year information security material weaknesses have been downgraded to significant deficiencies in the FY 2015 financial statement internal control report; however, much work remains to continue progress in correcting these deficiencies. We are reporting fifteen FISMA findings with twenty-five (25) recommendations for FY 2015 based on the results of our FY 2015 independent evaluation. In addition to those in this report, there were nine (9) FISMA-related recommendations reported in the Corporation’s FY 2015 internal control report FA-15-108-3.

An investigation was initiated based on information received by CNCS management that a Foster Grandparent Program volunteer was arrested by the Laramie County Sheriff's Office for allegedly touching a child inappropriately.

NSA publicly released, under the Freedom of Information Act, these three NSA OIG reports in 2016 on NSA.gov. They concern NSA activities conducted pursuant to two authorities: Section 702 of the Foreign Intelligence Surveillance Act, which authorizes targeted surveillance of foreign persons located outside the United States in certain cases, and Section 215 of the USA PATRIOT Act, which was replaced in 2015 by the USA FREEDOM Act. Publication here is meant to add to the available resources of oversight.gov.

NSA publicly released, under the Freedom of Information Act, these three NSA OIG reports in 2016 on NSA.gov. They concern NSA activities conducted pursuant to two authorities: Section 702 of the Foreign Intelligence Surveillance Act, which authorizes targeted surveillance of foreign persons located outside the United States in certain cases, and Section 215 of the USA PATRIOT Act, which was replaced in 2015 by the USA FREEDOM Act. Publication here is meant to add to the available resources of oversight.gov.

NSA publicly released, under the Freedom of Information Act, these three NSA OIG reports in 2016 on NSA.gov. They concern NSA activities conducted pursuant to two authorities: Section 702 of the Foreign Intelligence Surveillance Act, which authorizes targeted surveillance of foreign persons located outside the United States in certain cases, and Section 215 of the USA PATRIOT Act, which was replaced in 2015 by the USA FREEDOM Act. Publication here is meant to add to the available resources of oversight.gov.

OIG oversees all State Medicaid Fraud Control Units (MFCUs or Units). As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based on these reviews. The reviews assess Unit performance in accordance with the 12 MFCU performance standards and monitor Unit compliance with Federal grant requirements.

Hennepin County Medical Center (the Hospital) complied with Medicare billing requirements for 134 of the 211 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 77 claims, resulting in overpayments of $537,000 for CYs 2012 and 2013 (audit period). On the basis of our sample results, we estimated that the Hospital received overpayments totaling at least $1.6 million for the audit period. Overpayments occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.

Nevada did not allocate costs for establishing a health insurance marketplace to its establishment grants in accordance with Federal requirements. As a result, Nevada misallocated $893,000 in costs to the establishment grants instead of the Medicaid program over 3 years.

Under a contract monitored by the National Credit Union Administration Office of Inspector General, KPMG LLP, an independent certified public accounting firm, performed an audit of NCUA’s financial statements as of December 31, 2015. This transmits KPMG’s report on its financial statement audit of the NCUA financial statements for the Share Insurance Fund, Operating Fund, Central Liquidity Facility, and Community Development Revolving Loan Fund, as of and for the years ending December 31, 2015 and 2014.

Greenville Memorial Hospital (the Hospital), operating in South Carolina, complied with Medicare billing requirements for 257 of the 281 inpatient and outpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 24 claims, resulting in overpayments of $83,000 for the audit period. These errors occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.

Not all of the Minnesota marketplace's internal controls were effective in ensuring that individuals were enrolled in qualified health plans (QHPs) according to Federal requirements.

We found that although the Department took actions to ensure the completeness and reasonableness of the data it reported, it needs to improve controls to support the accuracy of data that SEAs reported. Specifically, we determined that the Department could provide better oversight, including both technical assistance and monitoring, of SEAs’ controls over data quality and the verification and validation process fordata it reports in its Annual Performance Report. It could also involve external auditors in the process by updating the Office of Management and Budget Circular A-133 Compliance Supplement under which they conduct their audits. Such actions could result in improvements to the quality of data that SEAs submit.

The National Credit Union Administration Office of Inspector General conducted this self-initiated audit to determine whether NCUA’s Asset Management and Assistance Center (AMAC) had effective policies, procedures, and resources in place to recover money owed from restitution orders, and assess the internal control environment over AMAC’s restitution order process.

The South Dakota Department of Social Services (State agency) did not always comply with Federal Medicaid requirements for invoicing manufacturers for rebates for physician-administered drugs. The State agency did not invoice manufacturers for rebates associated with $2 million ($1.2 million Federal share) in physician-administered drugs. Of this amount, $1.6 million ($941,000 Federal share) was for single-source drugs, and $458,000 ($266,000 Federal share) was for top-20 multiple-source drugs. Because the State agency's internal controls did not always ensure that it invoiced manufacturers to secure rebates, the State agency improperly claimed Federal reimbursement for these single-source drugs and top-20 multiple-source drugs.

CNCS-OIG investigators found that a Nevada Commission employee violated the Commission's conflict of interest policy when the employee received a small item from an AmeriCorps subgrantee for his personal business.

This report provides the results of our most recent audit of the efforts that the First Responder Network Authority (FirstNet) has taken to include federal government needs and requirements into the planning of the nationwide public safety broadband network (NPSBN). Specifically, we assessed FirstNet’s effectiveness regarding (1) informing federal agencies about FirstNet and the NPSBN and (2) soliciting and addressing federal agency concerns.

OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units' performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based on these reviews. The reviews assess the Units' performance in accordance with the 12 MFCU performance standards and their compliance with applicable Federal requirements.

HPM Foundation, Inc. (HPM), operating in San Juan, Puerto Rico, did not comply with all applicable Federal requirements and grant terms related to its Affordable Care Act-funded capital development grant. Specifically, HPM claimed unallowable construction consulting costs totaling $35,000. In addition, HPM did not (1) comply with procurement standards, (2) separately account for grant funds, (3) properly maintain and track equipment purchased with grant funds, and (4) provide the Health Resources and Services Administration (HRSA) reliable data on the number of patients served.