Open Recommendations

We recommend that the Centers for Medicare & Medicaid Services instruct DME MACs to recover $11,399 in overpayments made to suppliers for the 15 sample items that did not meet Medicare requirements.

We recommend that the Centers for Medicare & Medicaid Services instruct DME MACs to perform additional medical reviews of claims for intermittent urinary catheters and sterile catheter kits, which could have saved Medicare an estimated $35,079,833 for our audit period.

We recommend that the Centers for Medicare & Medicaid Services instruct DME MACs to provide additional education to suppliers on documenting eligibility for intermittent urinary curved-tip catheters and sterile catheter kits and on documenting refills of catheters and sterile catheter kits.

We recommend that NRC management investigate methods of identifying inactive user accounts and improving its internal controls over inactivity to ensure that it disables network user accounts after 90 days of inactivity.

We recommend that USAID's Office of Acquisition and Assistance Cost, Audit and Support Division/Contract Audit Management Branch determine the allowability of the $42,764 ineligible questioned costs on pages 25 to 37 of the audit report and recover any unallowable amount.

We recommend that USAID's Office of Acquisition and Assistance Cost, Audit and Support Division/Contract Audit Management Branch Verify that Yayasan Project HOPE corrects the seven instances of material noncompliance detailed on pages 25 to 37 of the audit report.

We recommend that APHIS develop and implement a process to ensure that inspectors are consistent throughout their inspection of the dog breeder’s facility to reduce the occurrence of missed items for review.

For each OT system, develop, document, and implement a comprehensive disaster recovery plan that includes a process to keep the plan current.

Develop and begin implementing a technology refresh plan with milestones for replacing outdated OT devices.

Review and take appropriate actions for the 30 beneficiaries we identified who had improper payments.

Obtain accurate WC data for the 357 beneficiaries with missing or inaccurate WC information, make necessary payment adjustments, and resolve any improper payments, if necessary.

We recommend the Vice President and Chief Information and Digital Officer, Technology and Innovation, (1) design and implement a documented process for maintaining an accurate inventory of internet accessible internet protocal addresses and update Cybersecurity and Infrastructure Security Agency within five days of changes.

Require Carrington to remedy HUD and the 27 borrowers in our sample with improper foreclosure filings and take administrative actions if appropriate.

Require Carrington to perform a review of loans affected by the system errors and when appropriate, remedy the borrowers or HUD.

Require Carrington to update its policies and procedures to comply with HUD requirements by reviewing eligible borrowers for streamlined options without unnecessary documents, notifying borrowers if they are ineligible for any loss mitigation options, and using best efforts to review borrowers for loss mitigation within 37 days of the foreclosure sale date.

Require Carrington to implement improved controls to prevent manual errors by performing additional review of all foreclosure actions and performing timely review of all documentation provided by the borrowers and third parties.

Evaluate call data to ensure health administration services staff at the Atlanta facility who answer calls for the mental health and specialty care clinics meet Veterans Health Administration call center performance standards for timeliness and abandonment rate.

We recommend that USAID/West Africa verify that Nouvelle Pharmacie de la Sant Publique de Cte d'Ivoire corrects the four material weaknesses in internal control detailed on pages 26 to 28 of the audit report.

We recommend that USAID/West Africa verify that Nouvelle Pharmacie de la Sant Publique de Cte d'Ivoire corrects the four instances of material noncompliance detailed on pages 32 to 34 of the audit report.

OIG recommends that the Bureau of Administration, in coordination with the Bureau of Diplomatic Technology and Bureau of Diplomatic Security, assess the extent to which electronic messaging applications, including Signal, are used at posts worldwide to conduct Department of State business.

OIG recommends that the Bureau of Administration, in coordination with the Bureau of Diplomatic Technology and Bureau of Diplomatic Security, determine the availability of acceptable alternative procedures and methods for preserving federal records from electronic messaging applications by (1) identifying alternative methods for preserving records from electronic messaging applications without export functions and (2) determining whether replicating electronic messaging correspondence in cables, emails, or official reports is an acceptable alternative means of preserving records of these communications.

OIG recommends that, if alternative procedures and methods for preserving federal records from electronic messaging applications are identified following implementation of Recommendation 5, the Bureau of Administration update the guidance for retaining electronic messages in the Foreign Affairs Manual and Records Guidance for Electronic Messages accordingly.

OIG recommends that, following the implementation of Recommendations 4, 5, and 6, the Bureau of Administration, in coordination with the Bureau of Diplomatic Technology and Bureau of Diplomatic Security, reevaluate the general prohibition on certain electronic messaging applications and update the Foreign Affairs Manual accordingly.

KPMG recommends that FHWA management clearly and consistently communicate change management requirements per the FHWA Configuration and Change Management Process policy to the control operators.

KPMG recommends that FHWA management review and update accounting policies and operating procedures to capitalize costs for the construction and procurement of non-heritage fixed assets on behalf of FLH's FLMA partners.