HHS's Oversight of Automatic Provider Relief Fund Payments Was Generally Effective but Improvements Could Be Made

Submitting OIG:

Department of Health & Human Services OIG

Date Issued:

Monday, October 30, 2023

Agency Reviewed / Investigated:

Department of Health & Human Services

Submitting OIG-Specific Report Number:

A-02-20-01025

Component, if applicable:

Health Resources and Services Administration

Location(s):

United States

Type of Report:

Audit

Questioned Costs:

$352,192,977

Funds for Better Use:

Number of Recommendations:

Report updated under NDAA 5274:

View Document:

Attachment	Size
22001025.pdf	2.78 MB

Recommendation Number	Recommendation Status	Significant Recommendation
24-A-02-011.01	Open	No
We recommend that the Health Resources and Services Administration perform postpayment reviews of 108 renal dialysis providers that attested to and kept automatic PRF payments totaling $58 million and recoup any outstanding overpayments from these providers.
24-A-02-011.02	Open	No
We recommend that the Health Resources and Services Administration perform postpayment reviews of 58 providers with multiple subsidiary organizations that attested to and kept automatic PRF payments totaling $130 million and recoup any outstanding overpayments from these providers.
24-A-02-011.03	Open	No
We recommend that the Health Resources and Services Administration perform postpayment reviews of 642 providers that attested to and kept $165 million in automatic PRF payments for which they were not eligible and recoup any outstanding overpayments from these providers.
24-A-02-011.04	Open	No
We recommend that the Health Resources and Services Administration commit to strengthening its procedures that may apply to future programs of a similar nature to better ensure that; providers receive their intended share of financial assistance; financial assistance payments are properly calculated; data and data sources are appropriate, current, complete, and accurate, and revisions are made when necessary for calculating financial assistance; and all available data sources are utilized to identify ineligible providers and prevent them from receiving financial assistance.

Recommendation Number

Recommendation Status

Significant Recommendation

Additional Details

24-A-02-011.01

Open

We recommend that the Health Resources and Services Administration perform postpayment reviews of 108 renal dialysis providers that attested to and kept automatic PRF payments totaling $58 million and recoup any outstanding overpayments from these providers.

24-A-02-011.02

Open

We recommend that the Health Resources and Services Administration perform postpayment reviews of 58 providers with multiple subsidiary organizations that attested to and kept automatic PRF payments totaling $130 million and recoup any outstanding overpayments from these providers.

24-A-02-011.03

Open