Open Recommendations

Assess the duties of the Supervisor of Investigations, and if warranted, develop a plan to reduce his nonmanagerial duties.

Take steps to ensure that convictions and adverse actions are reported to Federal partners within the appropriate timeframes.

Take steps to track and verify that Unit staff meet requirements in its training plan.

Instruct the State to conduct monitoring reviews of its CDBG-DR HIM activities and subrecipients that satisfy monitoring requirements.

Develop and implement an agencywide crisis readiness plan addressing likely hazards arising from a crisis. This guidance should include all key elements that meet CIGFO crisis guidance.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. refund to the Federal Government the $468,372 of overpayments.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.

We recommend that Cigna-HealthSpring Life & Health Insurance Company, Inc. continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

Rec. 2.a-d: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish an oversight plan for the management of traumatic brain injury care within the Military Health System. At a minimum, the oversight plan should: a. Include the completion and tracking of required screening tools, including Military Acute Concussion Evaluation, Version 2. b. Include the completion and tracking of the Progressive Return to Activity protocol. c. Include the completion and tracking…

Rec. 3.a-b: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish a Traumatic Brain Injury Program of Record for traumatic brain injury care within the Military Health System that: a. Establishes baseline resource requirements and guidance for personnel, equipment, and staffing and budget modeling. b. Standardizes programming, concept of operations, business practices, staffing, and referral standards.

Rec. 4: The DoD OIG recommended that the Under Secretary for Personnel and Readiness, in coordination with the Assistant Secretary of Defense (Health Affairs), the Director of the Defense Health Agency, the Service Surgeons General, and the Joint Staff Surgeon, establish a process by which Military Health System providers can access, create, and update Service members' profiles, regardless of their Service Component.

Develop a plan to analyze costs associated with the processing and delivery of Election Mail and explore opportunities to be compensated for the implementation of Election Mail key practices and extraordinary measures.

Strengthen controls over the development and approval of tree, bush, and vine prices, and expand current review to include verification of the sufficiency and accuracy of supporting information.

Establish a policy that, when using information or data from any outside entity, FSA will conduct an accuracy and applicability review with the outside entity to ensure that the information or data provided is being used in accordance with its intended purpose and with FSA regulations and policies.

Based on established guidance, assess the actual production value for all questioned insured production losses totaling $15,681,325 identified by OIG. Recover any disallowed costs from the producers and issue payments to the producers for any underpayments

We recommend that MCS Advantage, Inc. refund to the Federal Government the $220,577 of net overpayments.

We recommend that MCS Advantage, Inc. identify, for the high-risk diagnoses included in this report, similar instances of noncompliance that occurred before or after our audit period and refund any resulting overpayments to the Federal Government.

We recommend that MCS Advantage, Inc. continue its examination of its existing compliance procedures to identify areas where improvements can be made to ensure that diagnosis codes that are at high risk for being miscoded comply with Federal requirements (when submitted to CMS for use in CMS's risk adjustment program) and take the necessary steps to enhance those procedures.

Ensure that the projected costs and benefits of all available options for housing detainees are fully disclosed to responsible officials and stakeholders when making decisions pertaining to EO 14006.

Ensure that the projected costs and benefits of all available options for housing detainees are fully disclosed to responsible officials and stakeholders when making decisions pertaining to EO 14006.

Maintain documentation of any associated decisions-and the related justifications-for the appropriate method for housing detainees, which should describe the rationale for those decisions.

Maintain documentation of any associated decisions-and the related justifications-for the appropriate method for housing detainees, which should describe the rationale for those decisions.

Resolve the $5,928 in questioned inappropriately allocated publication costs for which RPI has not agreed to reimburse NSF and direct RPI to repay or otherwise remove the sustained questioned costs from its NSF awards.

Resolve the $611 in questioned inadequately supported travel expenses for which RPI has not agreed to reimburse NSF and direct RPI to repay or otherwise remove the sustained questioned costs from its NSF awards.

We recommend that the Census Bureau revise Chapter D-5, Section 11 (b) Cost Moinitoring to address any unique procedures necessary for Fixed Fee projects.