Open Recommendations

Treasury OIG should follow-up with Kiowa's management to confirm if the $654,200 noted as ineligible expenditures within the Aggregate Payments to Individuals payment type are recouped or replaced by other eligible expenditures, not previously charged to CRF, that were incurred during the period of performance. Further, based on Kiowa's responsiveness to Treasury OIG's requests and its ability to provide sufficient documentation and/or replace ineligible transactions charged to CRF with valid expenditures, Treasury OIG should determine the feasibility of conducting an audit for the Contracts greater than or equal to $50,000 payment type.

Treasury OIG should follow-up with Kiowa's management regarding the remaining $12,678 of attorney's fees expenses within the Contracts greater than or equal to $50,000 payment type not tested during Castro's desk review to determine if there are additional unsupported or ineligible questioned costs.

Treasury OIG should determine the feasibility of following up with Kiowa over the $579,443 of additional hardship payments to determine whether these amounts charged to the CRF included previously budgeted expenditures and, if so, Castro recommends Treasury OIG recoup the funds or request that Kiowa's management provide support for eligible expenditures, not previously charged to CRF, that were incurred during the period of performance.

Treasury OIG should follow-up with Kiowa's management to request they perform an analysis over its Aggregate Reporting less than $50,000 payment type claimed costs to determine if there are any additional hardship payments included within that payment type. Based on the results of this assessment, Treasury OIG should consider the feasibility of performing additional testing over these balances.

Treasury OIG should determine the feasibility of performing additional follow-up with Kiowa to determine if there were other instances of ineligible or unsupported hardship balances within all four of the hardship payment types claimed within its Aggregate Payments to Individuals payment type.

Treasury OIG follow-up with Connecticut's management to confirm if the $167,633,232 noted as unsupported expenditures within the Contracts greater than or equal to $50,000, Grants greater than or equal to $50,000, Transfers greater than or equal to $50,000, Direct Payments greater than or equal to $50,000, Aggregate Reporting less than $50,000, and Aggregate Payments to Individuals payment types can be supported. If support is not provided, Treasury OIG should recoup the funds or request that Connecticut's management provide support for other eligible replacement expenses, not previously charged to CRF, that were incurred during the period of performance. Further, based on…

Treasury's Office of Capital Access to ensure that management decision letters are issued on the CRF specific findings identified by the auditor in these Single Audit Act reports.

Treasury's Office of Capital Access follow-up on any CRF specific questioned costs reported in the fiscal year 2023 Single Audit Act report that was published on March 27, 2024, after Castro's desk review planning and fieldwork procedures were completed.

The OIG recommends that Veterans Integrated Service Network leaders ensure facility staff separate clean and dirty equipment and supplies to prevent cross-contamination.

The OIG recommends Veterans Integrated Service Network leaders ensure facility staff keep the environment clean and safe.

The OIG recommends that executive leaders ensure front desk personnel are competent in communicating with sensory-impaired veterans.

The OIG recommends that facility leaders consistently identify opportunities for improvement, ensure staff implement appropriate action plans, and evaluate actions for sustained improvement.

Should program the package tracking software to automatically apply mis-shipped scans to packages dropshipped at plants but manifested at a rate associated with a different type of facility.

Design and implement the USPS SHIP system to analyze package data that identifies Parcel Select packages dropped at the wrong location and flags them for additional postage due.

Should enforce the nonmailable package fee collection policy by implementing an automated fee collection system for nonmailable packages dropped at Destination Delivery Units, or implementing an alternative solution.

Complete a needs assessment to ascertain DEA ONSI's AI needs and identify specific ways it can use AI to improve intelligence collection and analysis.

Complete the Analytical Framework for Emerging and Disruptive Technology (AFEDT) process to ascertain its AI needs and identify specific ways it can use AI to improve intelligence collection and analysis.

Delegate other transaction authority to officials responsible for basic, applied, or advanced research activities and prototype projects in support of intelligence activities, or the adoption of such activities; or justify why this action cannot be completed.

Submit to Congress its report on efforts to develop, acquire, adopt, and maintain AI to improve intelligence collection and analysis and optimize internal workflows as required by Section 6721(a) of Title LXVII of the FY 2023 NDAA.

We recommend that Triple-S Advantage, Inc. refund to the Federal Government $296,758 in net overpayments.

We recommend that Triple-S Advantage, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.

We recommend that Triple-S Advantage, Inc. continue to examine its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk of being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

We recommend that Bridge Home Health refund the $6,046 in overpayments to the Medicare program.

We recommend that Bridge Home Health identify similar instances of noncompliance that occurred before, during, and after the audit period and determine the impact and return any overpayments to the Federal Government.

We recommend that Bridge Home Health strengthen its review of medical record documentation to ensure compleance with Medicare billing requirements.