Open Recommendations

We recommend that the Chief Financial Officer and Assistant Secretary for Administration update policies and procedures to include requirements for bureaus to maintain adequate documentation of vehicle usage.

We recommend that the Regional Administrator, FEMA Region IV direct the State of Florida to recover the $84,681 in unsupported and ineligible force account equipment costs from the County.

We recommend that the Regional Administrator, FEMA Region IV direct the State of Florida to require the County to either provide adequate support to validate the hours invoiced or remove the $1,080 in unsupported costs from its RFR.

Rec. 1: The DoD OIG recommended that the Office of the Under Secretary of Defense for Acquisition and Sustainment issue policy requiring all DoD biological select agents and toxins?registered laboratories to implement an internal technical and scientific peer review function that addresses both biosafety and biosecurity.

To the extent practicable, adjust the production schedules for Artemis 4 and 5 to better align with the successful demonstration of Artemis 2 to reduce schedule delays associated with potential rework.

We recommend HHS provide training to political appointees and senior leaders related to proper contract administration.

We recommend HHS determine whether any HHS contractors or subcontractors are performing inherently governmental functions and whether any active CMS service contracts or task orders are being administered as personal services contracts, and take action to correct their administration.

We recommend that the Regional Administrator, FEMA Region IV, assess the status and adequacy of FDEM's corrective actions with respect to establishing a subrecipient monitoring program and reviewing subrecipient Single Audit reports.

Resolve the $136,024 in questioned conference, travel, and AURA service costs and direct UNC to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $39,389 of questioned equipment, internal service center, salary, and other direct costs for which it has agreed to reimburse NSF.

Resolve the $164,313 in questioned subaward costs and direct UNC to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $103,250 of questioned unsupported ACM$ cash drawdowns for which it has agreed to reimburse NSF.

Resolve the $26,505 in inappropriately allocated materials and supplies, travel, and equipment costs for which UNC has not agreed to reimburse NSF and direct UNC to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $61,496 of questioned materials and supplies, travel, equipment, and other direct costs for which it has agreed to reimburse NSF.

Resolve the $11,542 in meal and lodging per diem expenses for which UNC has not agreed to reimburse NSF and direct UNC to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $75,065 in questioned pre-award, PSC, airfare, and other direct cost expenses for which it has agreed to reimburse NSF.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $65,314 of questioned indirect costs for which it has agreed to reimburse NSF.

Resolve the $30,435 in questioned costs related to inappropriately procured equipment and services for which UNC has not agreed to reimburse NSF and direct UNC to repay or otherwise remove the sustained questioned costs from its NSF awards.

Direct UNC to provide support verifying that it has repaid or otherwise credited the $5,143 in server costs for which it has agreed to reimburse NSF.

Direct UNC to provide support to verify that it has repaid or otherwise credited the $17,136 of questioned costs caused by accounting issues for which it has agreed to reimburse NSF.

Direct UNC to provide support to verify that it has repaid or otherwise credited the $9,059 of questioned costs in inappropriately treated GRFP expenses for which it has agreed to reimburse NSF.

To address the 164 incorrectly billed hospital claims in our sample, we recommend that the Centers for Medicare & Medicaid Services: CMS notifies 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.

We recommend that the Centers for Medicare & Medicaid Services: review how hospitals are using diagnosis code E41 for nutritional marasmus and diagnosis code E43 for unspecified severe protein-calorie malnutrition and work with hospitals to ensure that they correctly bill Medicare when using severe malnutrition diagnosis codes.

To address the 164 incorrectly billed hospital claims in our sample, we recommend that the Centers for Medicare & Medicaid Services: collect the portion of the $914,128 for the incorrectly billed hospital claims that are within the reopening period.

Make a determination regarding the allowability of questioned costs identified in this report and recover those costs determined to be unallowable.