Open Recommendations

GPO should perform periodic verification of destruction of e-waste at its contractor facility.

We recommend that Mercy Health Visiting Nurse Services refund to the Medicare program the portion of the estimated $1,074,136 in overpayments for claims incorrectly billed that are within the 4-year reopening period.

CMS should work with the manufacturers associated with errors to correct and resubmit accurate product data.

Establish and implement procedures to ensure E2 account management practices enforce DOL’s security policies.

Establish and implement procedures to ensure E2 is managed in compliance with contractual security requirements and DOL computer security policies for contracted information systems.

To enhance its stewardship activities, we recommend that the National Institutes of Health: establish an oversight body that ensures property accountability management responsibilities and control activities for Government property are performed

To enhance its stewardship activities, we recommend that the National Institutes of Health: appoint a Board of Survey and Survey officers at each IC and complete investigations and reviews on incidents to accountable property, and conduct them going forward according to property management policy and procedures

To enhance its stewardship activities, we recommend that the National Institutes of Health: formalize and implement a performance indicator for the completion of investigations for lost, damaged, stolen, or destroyed accountable property and risk indicators to use together with other performance indicators in its accountable personal property management program;

To enhance its stewardship activities, we recommend that the National Institutes of Health: implement routine mandatory training for ICs’ procurement personnel and Property Custodial and Accountability officers on its Personal Property Management policies and procedures;

To enhance its stewardship activities, we recommend that the National Institutes of Health: complete corrective actions for FYs 2017 and 2018 FMFIA audits’ control deficiency record;

To enhance its stewardship activities, we recommend that the National Institutes of Health: develop relevant milestones with estimated milestone completion dates that support the implementation of a standardized agencywide operating model that centralizes and integrates software asset management and software license management;

To enhance its stewardship activities, we recommend that the National Institutes of Health: employ a primary software asset management tool that centralizes and automates the capture of software inventory and entitlement data into each IC operating environment.

Rec. B.1.a: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness develop policy that specifies how installation commanders should address serious juvenile-on-juvenile misconduct incidents.

Rec. B.1.b: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness develop policy that identifies which support agency will provide counseling support services to victims and offenders of serious juvenile-on-juvenile misconduct incidents.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

Rec. B.2: The DoD OIG recommended that the Secretaries of the Army, Navy, and Air Force update Military Law Enforcement Organization and Military Criminal Investigative Organization policies to require personnel to document in all investigative case files all notifications to civilian legal authorities and installation commanders, and, when possible, the legal and administrative actions taken.

CMS should require MAOs to implement best practices to ensure care coordination for HRAs.

CMS should provide targeted oversight of the 10 parent organizations that drove most of the risk-adjusted payments resulting from in-home HRAs.

CMS should provide targeted oversight of the 20 MAOs that drove risk-adjusted payments resulting from in-home HRAs for beneficiaries who had no other service records in the 2016 encounter data.

CMS should reassess the risks and benefits of allowing in-home HRAs to be used as sources of diagnoses for risk adjustment and reconsider excluding such diagnoses from risk adjustment.

CMS should require MAOs to flag any MAO-initiated HRAs in their MA encounter data.

We recommend that Baylor Scott & White-College Station refund to the Medicare contractor the portion of the $189,27637 in estimated overpayments for incorrectly billed claims that are within the 4-year reopening period.

We recommend that Baylor Scott & White-College Station improve procedures and provide education to ensure claims billed to Medicare are accurate.

We recommend that Baylor Scott & White-College Station implement changes to billing system to ensure claims billed to Medicare are accurate.