Federal Reports

ARC grant management system and available Basic Agency Monitoring Reports (BAMR) received from States administering construction related grants and consideration of ARC guidelines that permit States requests to revise or revoke commission approval of grants if the work intended to be assisted is not underway within 18 months of grant approval

To view the report, please click on the link below.

Cornerstone Hospital of Bossier City (The Hospital), in Bossier City, Louisiana, did not comply with Medicare requirements for billing Kwashiorkor on any of the 73 claims that we reviewed. The Hospital used diagnosis code 260 for Kwashiorkor but should have billed for other forms of malnutrition. For 25 of the inpatient claims, substituting a more appropriate diagnosis code produced no change in the diagnosis-related group or payment amount. However, for the remaining 48 inpatient claims, the errors resulted in overpayments of $322,000. The Hospital believes that all claims identified by the Office of Inspector General were appropriately submitted for payment.

Saint Louis University Hospital (the Hospital) (operating in Saint Louis, Missouri) complied with Medicare billing requirements for 243 of the 261 outpatient and inpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 18 claims, resulting in net overpayments of $119,000 for calendar years 2011 and 2012. Specifically, 4 outpatient claims had billing errors, resulting in overpayments of over $65,000, and 14 inpatient claims had a billing error, resulting in net overpayments of over $53,000. 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.

The OIG assessed operational and cultural strengths and areas for improvement that could impact Bull Run Fossil Plant's (BRF) organizational effectiveness. We determined, overall, BRF has significant opportunity to improve its effectiveness. While we identified strengths associated with trust of first-line supervisors and teamwork, BRF's performance in fiscal year 2015 was mixed, and the morale of the workforce was low primarily due to the impacts of corporate decisions and limited trust between plant management and employees. The specific areas identified for operational improvement included: (1) plant performance, (2) equipment condition, (3) work management, (4) safety, and (5) staffing. In addition, we found a number of factors that impacted trust and employee morale, including: (1) corporate decisions, (2) behaviors displayed by a manager, (3) an increase in contractor usage, and (4) ineffective communication between plant management and employees. These operational and work environment issues, if left unresolved, could increase the risk that BRF employee engagement and performance levels will not be sufficient for the plant to meet its mission.

We found that the Tennessee Department of Education did not ensure that the Achievement School District developed and implemented adequate internal control activities over retaining documentation, contracting, approving purchases, using credit cards, recording adjusting journal entries, and classifying expenditures. In addition, we found that the Tennessee Department of Education and the AchievementSchool District did not spend Race to the Top funds only on allowable items and activities and in accordance with program requirements and the approved grant application. Our review identified more than $100,000 in Race to the Top funds that were spent on unallowable items and activities.