Open Recommendations

Direct the Health Information Management program office in coordination with the Office of Community Care and facility chiefs of staff to ensure facilities are conducting post payment audits of billed acupuncture and chiropractic services to verify non VA providers are properly supporting their claims and to develop processes for corrective actions based on audit results.

Direct the Health Information Management program office, in coordination with the Office of Community Care and facility chiefs of staff, to ensure facilities are conducting postpayment audits of billed evaluation and management services to verify non VA providers are properly supporting their claims, including a focus on providers who frequently bill high level evaluation and management services and/or submit charges during periods when global surgery packages are in effect, and develop processes for corrective actions based on audit results.

Implement controls to comply with federally and Agency-required time frames to install patches to correct identified vulnerabilities in the Pesticide Registration Information System application.

Implement a system that tracks the dates when accounts receivable source documents need to be submitted and are submitted by the Office of Enforcement and Compliance Assurance to the Cincinnati FinanceCenter.

We recommend that the Centers for Medicare & Medicaid Services expand the IRF transfer payment policy to apply to early discharges to home health care. If this expanded policy had been in place, Medicare could have saved $993,134,059 in 2017 and 2018.

We recommend that MCC's Chief Information Officer develop and document supply chain policies, procedures and strategies

MITRE recommended that the Under Secretary of Commerce for Intellectual Property and Director of the United States Patent and Trademark Office direct the Commissioner for Patents to establish regular monitoring of consistency in examination decisions, including trainees' decisions, by randomly selecting applications for parallel examination.

Review Resource Conservation and Recovery Act information system inspection data entered during the coronavirus pandemic to determine the extent off-site compliance-monitoring activities were incorrectly countedas inspections and correct the inspection data in the system as needed.

Work with all EPA regions to determine why the rate of violations per inspection was reduced during the coronavirus pandemic and the inspection rate for large quantity generators was below historical levels from October 2020 through February 2021.

Develop policies that define inspection requirements and flexibilities to optimize the capabilities of authorized state programs in future large-scale pandemic or disaster events. These should include mechanisms, consistent with EPA guidance documents, that allow maintenance of normal Resource Conservation and Recovery Act inspection rates while ensuring the safety of enforcement staff.

The Bureau of Consular Affairs should clearly define the ConsularOne modernization program and Consular Systems Modernization, including its components, projects, supporting contracts, and the associated total cost of those contracts for both efforts.

The Bureau of Consular Affairs should require the Office of Consular Systems and Technology to implement an internal communication and collaboration plan.

The Bureau of Consular Affairs should perform annual security controls assessments for the Office of Consular Systems and Technology's information systems in accordance with Department standards.

Use Treasury’s DNP analysis to systemically flag COVID-19 EIDL and Emergency EIDL grant recipients who were found in Treasury’s DNP system and not previously reported by OIG. Review the applications and determine whether they are deemed ineligible. If the applicant is deemed ineligible, recover any disbursed funds, and flag the application as ineligible.

For all COVID-19 EIDLs and Emergency EIDL grants identified and flagged as potentially ineligible above, include those transactions in SBA’s 2021 improper payments estimation process.

In order to mitigate risks to the Station's structural integrity, ensure the risks associated with cracks and leaks in the Service Module Transfer Tunnel are identified and mitigated prior to agreeing to an ISS life extension.

The Chief Administrative Officer review jurisdiction-level fleet policies and standardize jurisdictional best practices across the AOC where appropriate;

The Chief Administrative Officer, in coordination with AOC organization leaders, review and revise AOC-wide and jurisdictional policies to include standards for vehicle utilization, and guidance for implementing these standards while maintaining jurisdiction-level operational flexibility.

We recommend the Chief Administrative Officer develop and implement additional policies and procedures that:a) ensure adherence to vehicle utilization reporting,b) include a more formal scheduled vehicle maintenance program, andc) collect, track, monitor and analyze fleet costs throughout the vehicle lifecycle at the vehicle level.

We recommend the Director of CISA develop an implementation plan to conduct periodic assessments for monitoring theprogress of goals and activities and complete annual updates on action items, as required by the Cyber Action Plan and associated 2015 and 2018memorandums.

We recommend the Director of CISA conduct centralized tracking and completion of signed closeout summaries to reconcile the ongoing,outstanding, and open tasks and activities, as required by the Cyber Action Plan and associated 2015 and 2018 memorandums.

We recommend the Director of CISA establish performance measures to ensure the effectiveness and completion of the CyberAction Plan and associated 2015 and 2018 memorandum activities.

We recommend the Director of CISA establish the DHS governance structure and ensure it consists of an Executive Committee thatmeets at least semi-annually and a Steering Committee that meets at least quarterly, as required.

We recommend that the Centers for Medicare & Medicaid Services update its PDE guidance to address margin under sponsor delivery models in which a sponsor owns a pharmacy.

Develop information reports to identify beneficiaries in death suspense for prolonged periods and instruct management to ensure technicians take appropriate actions on the cases.