Open Recommendations

We recommended that CMS ensure that all necessary information is included in the CWF edits to accurately identify and prevent incorrect payments for nonphysician outpatient services provided within 3 days before the date of admission, on the date of admission, or during IPPS stay.

We recommended that CMS direct the Medicare contractors to recover the portion of $11.7 million in identified overpayments (for claims within the 4-year reopening period) resulting from the 40,984 incorrectly billed services and instruct the outpatient providers to refund the portion of the $2,785,607 in deductible and coinsurance amounts (for claims within the 4-year reopening period) that may have been incorrectly collected from beneficiaries or from someone on their behalf.

Rec. 1: The DoD OIG recommended that the Under Secretary of Defense for Acquisition and Sustainment and the Under Secretary of Defense for Personnel and Readiness collaboratively establish or revise appropriate DoD policy(s) to address health and safety hazards-including lead?based paint, asbestos?containing material, radon, fire and electrical safety, drinking water quality, window fall prevention, mold, carbon monoxide, and pest management-in military family housing to manage health, safety, and environmental risks to acceptable levels for military family housing residents.

Rec. 1: The DoD OIG recommended that the Under Secretary of Defense for Acquisition and Sustainment and the Under Secretary of Defense for Personnel and Readiness collaboratively establish or revise appropriate DoD policy(s) to address health and safety hazards-including lead?based paint, asbestos?containing material, radon, fire and electrical safety, drinking water quality, window fall prevention, mold, carbon monoxide, and pest management-in military family housing to manage health, safety, and environmental risks to acceptable levels for military family housing residents.

Rec. 2.a: The DoD OIG recommended that the Office of the Assistant Secretary of the Army for Installations, Energy and Environment update Service policies to align with revisions to DoD policy for health and safety hazard management

Rec. 2.b: The DoD OIG recommended that the Office of the Assistant Secretary of the Army for Installations, Energy and Environment develop oversight policies and procedures to assess the management of health and safety hazards in Government?Owned/Government?Controlled military family housing.

Rec. 2.c: The DoD OIG recommended that the Office of the Assistant Secretary of the Army for Installations, Energy and Environment direct installation officials to correct the specific lead-based paint, asbestos-containing material, radon, and fire safety health and safety hazard management deficiencies discussed in this report.

Rec. 3.a: The DoD OIG recommended that the Office of the Assistant Secretary of the Navy for Energy, Installations and Environment (on behalf of the U.S. Navy and U.S. Marine Corps) update Service policies to align with revisions to DoD policy for health and safety hazard management.

Rec. 3.b: The DoD OIG recommended that the Office of the Assistant Secretary of the Navy for Energy, Installations and Environment (on behalf of the U.S. Navy and U.S. Marine Corps) develop oversight policies and procedures to assess the management of health and safety hazards in Government?Owned/Government?Controlled military family housing.

Rec. 3.c: The DoD OIG recommended that the Office of the Assistant Secretary of the Navy for Energy, Installations and Environment (on behalf of the U.S. Navy and U.S. Marine Corps) direct installation officials to correct the specific lead-based paint, asbestos-containing material, and radon health and safety hazard management deficiencies discussed in this report.

Rec. 4.a: The DoD OIG recommended that the Office of the Assistant Secretary of the Air Force for Installations, Environment and Energy update Service policies to align with revisions to DoD policy for health and safety hazard management.

ASPR should clarify to HPP awardees the flexibility available in meeting Cooperative Agreement requirements.

ASPR should continue to work with CMS to help health care entities comply with the CMS emergency preparedness CoPs.

ASPR should clarify HPP guidance that HCCs’ membership should ensure strategic, comprehensive coverage of their communities’ gaps in preparedness and response.

ASPR should identify ways to incentivize core member participation in HCCs.

Identify individuals having specialized role-based responsibilities for PII or activities involving PII and develop role-based privacy training for them.

Based on NRC’s supply chain risk assessment results, complete updates to the NRC’s contingency planning policies and procedures to address supply chain risk training for them.

We recommend that the BLM determine if the CHS has created a step in its financial system to ensure that the agreement is not automatically charged for intern training costs, regardless of their attendance.

We recommend that the Bureau of Human Resources, in coordination with the Telework Managing Officer develop controls to ensure supervisors complete telework training prior to managing teleworkers.

We recommend that the Bureau of Human Resources, in coordination with the Telework Managing Officer develop controls to ensure written telework agreements are executed by the employee and supervisor prior to teleworking.

We recommend that the Bureau of Human Resources, in coordination with the Telework Managing Officer perform an initial evaluation of the Railroad Retirement Board’s telework program in accordance with the Office of Personnel Management’s Guide to Telework in the Federal Government, the Government Accountability Office’s Key Practices to Increasing Federal Telework, and the Railroad Retirement Board’s Work-At-Home Program policy.

We recommend that the Bureau of Human Resources, in coordination with the Telework Managing Officer update the Railroad Retirement Board’s Work-At-Home Program policy to include clear and specific requirements for evaluation of the telework program, both for the individual teleworker and for the Railroad Retirement Board as a whole, including frequency, documentation, and reporting requirements.

We recommend that the Bureau of Information Services update Administrative Circular Information Resources Management (IRM)-16 to ensure its accuracy and compliance with the National Institute of Standards and Technology Special Publication 800-53 Revision 4, Security and Privacy Controls for Federal Information Systems and Organizations.

OIG recommends that the Global Engagement Center implement to the extent feasible the results of the staffing needs assessment conducted in response to Recommendation 1.

Implement a system that is accessible to both the EPA and the applicants to track the processing of all tribal-New-Source-Review permits and key permit dates, including application received, application completed, draft permit issued, public comment period (if applicable), and final permit issuance.