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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Social Security Administration
Social Security Administration’s Actions to Resolve Potentially Fraudulent Internet Claims
Our objective was to determine whether the Social Security Administration (SSA) had adequate controls over resolving potentially fraudulent Internet Claims (iClaim) identified by SSA's Office of Anti-Fraud Programs (OAFP).
Financial Audit of the Sustainable Energy for Pakistan Program Managed by the Tetra Tech ES Inc., Contract No. AID-391-TO-16-00005, July 25, 2016 to March 31, 2019
Audit of the Office of Justice Programs Vision 21 Grant to Advance the Use of Technology Awarded to the National Network to End Domestic Violence, Washington, D.C.
The VA Office of Inspector General (OIG) conducted this audit to determine whether veterans received accurate compensation when hospitalized by VA for more than 21 days for service-connected disabilities. The OIG also examined whether claims processors met requirements to document the competency of veterans to handle VA funds who were admitted for service-connected mental health conditions. Veterans hospitalized for more than 21 days are entitled to receive temporary increases to 100 percent in tax-free disability compensation. Veterans Benefits Administration (VBA) employees process the compensation adjustments based on hospital admission and discharge reports. Staff’s failure to properly start or end the temporary compensation increases can lead to underpayments or overpayments. The OIG estimated VARO employees did not adjust or incorrectly adjusted disability compensation benefits in about 2,500 of the estimated 5,800 cases eligible for adjustments, creating an estimated $8 million in improper payments in calendar year 2018. The OIG estimated 1,900 cases did not have competency determinations documented for service-connected mental health conditions. The deficiencies occurred because employees did not consistently generate required reports and maintain report logs. Managers also provided ineffective oversight. As a result, veterans risked not receiving the proper benefits. Employees who processed benefit adjustments also lacked proficiency. They lacked sufficient ongoing experience and training to maintain requisite knowledge. This is also why employees were unclear on the requirement to document the relevant competency of veterans admitted for service-connected mental health conditions. The OIG made six recommendations to the under secretary for benefits, including ensuring proper admission and discharge reporting, as well as making certain that employees receive refresher training when needed to properly process temporary benefit adjustments for eligible veterans.
