Federal Reports

Why OIG Did This Audit Prior OIG work found that Medicare inappropriately paid for services that were billed as being distinct or significant and separately identifiable from other services provided on the same day. Our analysis showed that in 2018, an ophthalmology clinic in Florida (the Clinic) frequently billed for other services as being distinct from or significant and separately identifiable from intravitreal (inside the eye) injections of the drugs Avastin, Eylea, and Lucentis. Our objective was to determine whether the Clinic complied with Medicare requirements when billing for intravitreal injections of Avastin, Eylea, and Lucentis and for other services provided on the same day as the injections. How OIG Did This AuditOur audit covered Medicare Part B payments of $2.1 million for intravitreal injections of Avastin, Eylea, and Lucentis (and for other services provided on the same day as the injections) that the Clinic provided in 2018. We reviewed a stratified random sample of 100 beneficiary days, consisting of 543 services and drugs. (A beneficiary day consisted of all services and drugs provided on a date of service to a beneficiary in which intravitreal injections of Avastin, Eylea, or Lucentis were administered.) For each sampled beneficiary day, we provided copies of the medical records to an independent medical review contractor to determine whether the services and drugs were properly billed.

The U.S. Environmental Protection Agency's Office of lnspector General has identified a failure to follow Agency procedure—specifically EPA Classification No. CIO 2150-P-08.2, EPA Information Procedure, Information Security – Incident Response Procedures—concerning reporting and response requirements for cybersecurity incidents. The failure to follow this procedure occurred after EPA employees were notified of a potential data breach of EPA information related to the EPA Facility Registry Service, or FRS.

Every Postal Service-owned vehicle is assigned a Voyager Fleet card (Voyager card) to pay for its commercially purchased fuel, oil, and routine maintenance. U.S. Bank operates the program and Voyager provides a weekly electronic transaction detail file of all Voyager card transactions to the Postal Service’s Fuel Asset Management System (FAMS) eFleet application. OIG data analytics identified offices with potentially fraudulent Voyager card activity. The Norwalk, CT, Post Office had 3,166 posted transactions from October 1, 2020, through March 31, 2021, totaling $92,872. This includes 262 (8 percent) transactions totaling $30,005 that FAMS flagged as high risk.The objective of this audit was to determine whether Voyager card PINs were properly managed and Voyager card transactions properly reconciled at the Norwalk, CT, Post Office.

Our review confirmed that the Bureau of Safety and Environmental Enforcement implemented all five recommendations from our 2019 report.

Our objective was to evaluate service performance for First‑Class Single Piece (FCSP) letter mail nationally and in 17 selected districts. This report responds to a congressional request regarding concerns of low service performance in these districts in the last month leading up to the November 2020 general election. The OIG addressed issues on election mail service performance in a prior report. This audit focuses on overall service performance for FCSP letter mail in fiscal year (FY) 2020 through March 31, 2021.