Federal Reports

Louisiana did not comply with Federal and State requirements prohibiting Medicaid payments for inpatient hospital services related to treating certain provider-preventable conditions (PPCs) because it did not have controls to identify claims with PPCs that would have required a reduction in claim payment. We identified inpatient hospital claims totaling $55.4 million ($34.9 million Federal share) that contained a diagnosis code identified as a PPC and certain present-on-admission (POA) codes, or the claims were missing POA codes.

We completed an inspection of the Bureau of Land Management’s (BLM’s) small miner (those with 10 or fewer claims) mining claims. We focused on whether the BLM monitors these claims to ensure that they are legitimate, that maintenance fees are paid, and, if these fees are waived, that the required assessment work is conducted and complies with all applicable laws and regulations.We found that the BLM does ensure that small miner claims are legitimate and that maintenance fees are paid. The BLM does not physically validate the assessment work reported by small miner claimants seeking waivers to the maintenance fee, however. In Colorado and California, the two BLM State offices we inspected, we found that the BLM verifies that small miners requesting a waiver qualify for that waiver. We also found that the BLM verifies that documentation of work performed on mining claims, which is required of those who receive the waiver, is received annually by September 1. Identifying that work has been performed for waived claims, however, is essentially an honor system. We found that many affidavits included a description of assessment work apparently not in compliance with what was listed in regulations as qualifying work. The remoteness of claim locations also make BLM in-person validation of an owner’s onsite maintenance work unlikely.We make two recommendations: one to the BLM that proposes a cost-benefit analysis of the administrative cost and the burden of managing the maintenance fee waiver for small miners, and the second to the Secretary of the Interior that suggests using the BLM’s cost-benefit analysis to determine the future of the program.

United States Government Accountability Office Office of the Inspector General's System Review Report of the Corporation for National and Community Service Office of the Inspector General 2018

At the request of the Tennessee Valley Authority's (TVA) Supply Chain, we examined the labor and labor markup rates included in a contract TVA has with a contractor. Our examination objective was to determine if the contract's labor and labor markup rates were fairly stated for the five-year, $100 million contract.In our opinion, the contract's labor markup rates were overstated. We estimated TVA could save $1.4 million by negotiating reductions to the labor markup rates to more accurately reflect the contractor's recent historical costs. In addition, we found the contract's labor rate ranges are not reflective of the actual salary costs of the contractor's employees.(Summary Only)

This report responds to two congressional requests. One request came from Sen. Thomas Carper and another was a joint request from Reps. Elijah E. Cummings and Gerald E. Connolly, Ranking Member and Vice Ranking Member of the Committee on Oversight and Government Reform, respectively. Their requests asked for an investigation into the Postal Service’s release of former U.S. Postal Inspection Service employee Abigail Spanberger’s Standard Form 86, Questionnaire for National Security Positions, and any other related personnel information. Ms. Spanberger was the Democratic candidate (now Representative-elect) for Virginia’s 7th Congressional District.