Open Recommendations

We recommend that Noridian Healthcare Solutions, LLC recover $4,663 in improper payments made to physicians and qualified nonphysician practitioners for the 26 sampled enrollee-months.

Rec. 2.c: The DoD OIG recommended that the Defense Manpower Data Center Director implement automated system input controls to prevent entries from processing unless users populate required fields in accordance with updated requirements.

We recommend that the FWS work with the Division to resolve the Federal share of questioned costs related to the unsupported drawdowns totaling $20,210.

We recommend that the FWS work with the Division to develop and implement controls to ensure drawdowns are performed on actual and allowable expenditures.

We recommend that the FWS work with the Division to develop and implement controls to ensure expenditures are not incurred and charged to a grant after the period of performance.

We recommend that the FWS work with the Division to resolve the Federal share of questioned costs related to equipment totaling $1,609.

We recommend that the FWS work with the Division to resolve the potential diversion of $11,586 related to unsupported equipment.

We recommend that the FWS work with the Division to complete a physical inventory immediately.

We recommend that the FWS work with the Division to identify any equipment items that are obsolete, damaged, or disposed of, and update items in the asset management database.

We recommend that the FWS work with the Division to develop and implement a mechanism to hold Division employees accountable for ensuring physical inventories are conducted once every 2 years and assets reflect the correct status.

We recommend that the FWS work with the Division to develop and implement a mechanism to ensure the Division carries over the grant objectives from the original grant award to the final project performance reports and explains any deviations from the original objective.

We recommend that the FWS work with the Division to ensure Division personnel receive adequate grants program management training to comply with Federal regulations.

We recommend that the FWS work with the Division to develop a mechanism to hold employees accountable for submitting Federal Financial Reports timely.

We recommend that the FWS work with the Division to develop and implement a mechanism of controls to ensure all indirect costs and approved indirect cost rates are accurately reported on Federal Financial Reports.

We recommend that the FWS work with the Division to develop and implement procedures to ensure compliance with Federal regulations and Federal Funding Accountability and Transparency Act requirements related to subaward reporting.

We recommend that the FWS work with the Division to develop and implement procedures to evaluate each subrecipient's risk of noncompliance with Federal statutes, regulations, and the terms and conditions of the subaward.

We recommend that the FWS work with the Division to develop and implement procedures to adjust monitoring plans based on the results of each subrecipient's risk assessment.

Treasury OIG should pursue obtaining documentation from the Chippewa Cree Tribe's (CCT) management and ensure reporting corrections are made within the GrantSolutions portal. Further, based on CCT’s responsiveness to Treasury OIG’s requests and its ability to provide documentation, Treasury OIG should determine if a focused audit is feasible for Grants greater than or equal to $50,000 and Direct Payments greater than or equal to $50,000.

Develop a standardized statement for Social Security Administration employees to confirm the beneficiary or representative payee’s intent to enroll into the Direct Express Debit Card program and explain Comerica Bank is the financial institution that will mail the debit card and provide instructions on activating the card. The standardized statement could also include such information as the Direct Express® customer service telephone number.

We recommend that the Centers for Medicare & Medicaid Services direct the appropriate Medicare contractors to review claims billed under CPT code 81408 for our audit period to determine whether they complied with Medicare requirements.

We recommend that the Centers for Medicare & Medicaid Services direct the appropriate Medicare contractors to determine the amount of improper payments for the claims that did not comply with Medicare requirements and, for those that are within the 4-year claim-reopening period, in accordance with CMS's policies and procedures, recover up to $888,169,038 for claims that were at risk of improper payment during our audit period.

We recommend that the Centers for Medicare & Medicaid Services direct the appropriate Medicare contractors to based upon the results of this audit, notify appropriate providers (i.e., those for whom CMS determines this audit constitutes credible information of potential overpayments) so that the providers can exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule and identify any of those returned overpayments as having been made in accordance with this recommendation.

Implement a new labor distribution system that includes features such as timekeeping, overtime and Controller-in-Charge tracking, and real-time leave balances.

Determine the workload impact of commercial space operations at air traffic facilities, and take action as needed.

Identify the specific direct tasks associated with commercial space operations, determine if they should be included in the en-route controller workload model, and if so, incorporate them in the next updated model.