Open Recommendations

Rec. 1.a.6: The DoD OIG recommended that the Director of the Defense Health Agency review all medical facilities in the Military Health System to determine which medical facilities are not transferring eligible third party claims that are delinquent for more than 120 days to the Treasury Cross-Servicing Program, coordinate with commanders of those medical facilities to enforce Public Laws 104-134 and 113-101, which require medical facilities to transfer eligible delinquent claims to the Treasury Cross?Servicing Program, and take administrative action for noncompliance.

Rec. 1.h: The DoD OIG recommended that the Director of the Defense Health Agency report the dollar impact of not collecting on prescriptions written for more than a 30-day supply and as appropriate, implement procedures to require Uniform Business Office personnel to collect at least the reasonable charges on pharmaceutical claims equal to the allowable portion covered by insurance policies.

Rec. 2.d: The DoD OIG recommended that the Commander of Naval Hospital Bremerton review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 2.f: The DoD OIG recommended that the Commander of Naval Hospital Bremerton review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 3.a: The DoD OIG recommended that the Commander of Naval Medical Center San Diego review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 3.b: The DoD OIG recommended that the Commander of Naval Medical Center San Diego review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 4.d: The DoD OIG recommended that the Commander of Madigan Army Medical Center review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 4.f: The DoD OIG recommended that the Commander of Madigan Army Medical Center review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 5.c: The DoD OIG recommended that the Commander of Brooke Army Medical Center review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 5.d: The DoD OIG recommended that the Commander of Brooke Army Medical Center review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 6.c: The DoD OIG recommended that the Commander of the 59th Medical Wing at Lackland Air Force Base review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 7.g: The DoD OIG recommended that the Commander of the 75th Medical Group at Hill Air Force Base review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 8.c: The DoD OIG recommended that the Director of the Walter Reed National Military Medical Center review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 8.d: The DoD OIG recommended that the Director of the Walter Reed National Military Medical Center review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 9.b: The DoD OIG recommended that the Commander of the Fort Belvoir Community Hospital review and modify procedures for claim followup so debt can be transferred to the appropriate debt collection agency when claims become 120 days delinquent.

Rec. 9.c: The DoD OIG recommended that the Commander of the Fort Belvoir Community Hospital review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Rec. 10.b: The DoD OIG recommended that the Commander of the Kimbrough Ambulatory Care Center review all outstanding third party claims that are delinquent for more than 120 days to determine which claims are eligible for transfer to the Treasury Cross-Servicing Program or local Judge Advocate office, and transfer all eligible claims for collection assistance.

Resolve the $169,950 in questioned consulting and subaward costs and direct OSU to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct OSU to establish a policy to ensure that OSU employees are not paid as both employees and independent contractors. We noted that OSU updated OSU Policy 402- 006, Personal Services Contracts, in response to our audit; however, we determined that OSU’s revision does not sufficiently address cases such as the one described in this finding.

Direct OSU to strengthen its administrative and management procedures over awarding subawards to ensure that: a. Personnel who receive, or work for an organization that receives, a subaward contract are not involved in selecting or awarding it, or in performing administrative services for it. b. Cost-reimbursable subaward agreements do not include billing schedules. c. Subawardees submit budgets with accurate information on each employee’s salary, if the subawardees will submit invoices on a cost-reimbursable basis and OSU will charge these costs to a Federal award.

Resolve the $78,153 in questioned equipment, consultant, salary, travel, participant support, and leave payout costs and direct OSU to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct OSU to strengthen its administrative and management procedures for obtaining NSF’s approval before making changes to an award’s scope. Procedures could include verifying that the sponsor approved the change in scope before allowing PIs to charge awards for expenses that are inconsistent with the scope of the original award.

Direct OSU to strengthen its administrative and management procedures for allocating salary and associated accumulated leave expenses to sponsored projects. Procedures could include: a. Updating award close-out procedures to require personnel to review all payroll charged to an award after the award’s POP has ended, to verify that OSU incurred the expenses during the award’s POP. b. Updating its procedures for the approval of vacation leave payout to ensure that departments/units obtain OSRAA’s approval before charging payouts to sponsored awards.

Direct OSU to strengthen its administrative and management procedures for allocating travel expenses to sponsored projects. Procedures could include: a. Performing periodic reviews of expense reports that OSU personnel submit under NSF awards to ensure that all costs charged comply with Federal and NSF regulations and OSU policies and procedures. b. Conducting annual training for individuals responsible for reviewing and approving expense reports.

Direct OSU to strengthen its administrative and management procedures for allocating equipment or general-purpose equipment expenses to sponsored projects. Procedures could include requiring that PIs request specific approval from NSF before charging general-purpose equipment to NSF awards.