Open Recommendations

We recommended that Centers for Medicare and Medicaid Services direct the MACs (or other CMS-designated entities) to review a sample of claims for epidural steroid injection sessions administered during the period beginning on January 1, 2021, and ending on the date that the revised coverage limitations (i.e., up to four sessions per 12-month period) became effective in the relevant MAC's jurisdiction (I.e. December 5, 2021, and June 19, 2022), to identify instances in which Medicare paid physicians for injection sessions that exceeded the number of allowable sessions (in accordance with the applicable LCDs) and recover any improper payments identified.

We recommend that the Centers for Medicare and Medicaid Services direct the MACs to recover the $3,585,422 in improper payments made to physicians for epidural steroid injection sessions.

We recommend that the Centers for Medicare and Medicaid Services instruct the MACs to, based on the results of this audit, notify appropriate physicians (i.e. those for whom CMS determines this audit constitutes credible information of potential overpauments) so that the physicians 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.

Direct SNL to ensure MESA procurements of weapon products for use in nuclear weapons production are clearly identifiable in its records system and includes necessary attributes.

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

[Description omitted; DOJ has determined that this recommendation contains information that is limited official use or classified.]

Rec. 3: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security review and update any applicable counterintelligence guidance and policy documents, including DoD Instruction C-5240.08 and DoD Instruction 5240.04, to address Anomalous Health Incident-related information and counterintelligence investigation requirements; and provide information security advice to the Office of the Under Secretary of Defense for Policy for the development of a Security Classification Guide for Anomalous Health Incidents.

Embassy Khartoum should document its public diplomacy grants in accordance with Department standards.

Embassy Khartoum should conduct its consular fraud prevention program in accordance with Department standards.

Embassy Khartoum should develop and implement a written consular training and orientation program in accordance with Department standards.

Embassy Khartoum should install signage at the Consular Section's public entrance with all information required by Department guidance.

Embassy Khartoum should either implement a plan to fully use the leased facility in El Fashir, Darfur, or terminate the lease for the facility, return U.S. government assets and vehicles to the embassy and put up to $50,000 to better use.

Embassy Khartoum should document all nonexpendable property transfers in accordance with Department standards.

Embassy Khartoum should dismantle and remove its shipping containers and portable structures in accordance with Department requirements or obtain authorization from the Bureau of Overseas Buildings Operations to use them as permanent storage.

Embassy Khartoum should comply with Department training standards on the use of powered industrial trucks, such as forklifts.

Embassy Khartoum should comply with Department guidance on mishap reporting.

Embassy Khartoum should manage its bulk fuel operation in accordance with Department standards.

Embassy Khartoum should use the Integrated Logistics Management System to track all uniforms and personal protective equipment in accordance with Department standards.

Embassy Khartoum should complete all information systems security officer responsibilities in accordance with Department standards.

Embassy Khartoum should register its dedicated internet networks with the Bureau of Information Resource Management.

Embassy Khartoum should implement steps to secure and monitor its dedicated internet networks.

Embassy Khartoum should complete information technology contingency plans for the unclassified and classified networks and test the plans in accordance with Department standards.

Embassy Khartoum should develop an acquisition plan for its information technology needs in accordance with Department standards.

Embassy Khartoum should implement standard operating procedures for managing and tracking mobile devices as required by Department standards.

Embassy Khartoum should implement a records management program that complies with Department standards.