Audit of Payments to the DoD for Medical Services Provided to Department of Veterans Affairs Beneficiaries at Selected Army Medical Centers

Submitting OIG:

Department of Defense OIG

Date Issued:

Monday, April 8, 2019

Agency Reviewed / Investigated:

Department of Defense

Submitting OIG-Specific Report Number:

DODIG-2019-073

Component, if applicable:

Defense Health Agency (DHA)

United States Army (USA)

Location(s):

Agency-Wide

Type of Report:

Audit

Questioned Costs:

Funds for Better Use:

$9,400,000

Number of Recommendations:

View Document:

Attachment	Size
DODIG-2019-073.pdf	4.13 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation
D-2019-0073-D000AW-0001-0001	Open	No
Rec. 1: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) coordinate with Department of Veterans Affairs counterparts on the Health Executive Committee to determine the source of Veterans Affairs Pacific Island Health Care System payment delays to Tripler Army Medical Center and develop a joint solution to improve the timeliness of payments.
D-2019-0073-D000AW-0001-0002.a	Open	No
Rec. 2.a: The DoD OIG recommended that the Defense Health Agency identify the source of billing system errors that prevented payment of inpatient professional fees.
D-2019-0073-D000AW-0001-0002.a1	Open	No
Rec. 2.a.1: The DoD OIG recommended that the Defense Health Agency modify the billing system to prevent future errors.
D-2019-0073-D000AW-0001-0002.a2	Open	No
Rec. 2.a.2: The DoD OIG recommended that the Defense Health Agency determine whether the billing system errors affected other sharing sites.
D-2019-0073-D000AW-0001-0002.a3	Open	No
Rec. 2.a.3: The DoD OIG recommended that the Defense Health Agency provide guidance to impacted sharing sites to bill for any previously unbilled care.
D-2019-0073-D000AW-0001-0002.b	Open	No
Rec. 2.b: The DoD OIG recommended that the Defense Health Agency update the scheduling system to ensure that all care provided to Department of Veterans Affairs beneficiaries can be properly recorded, tracked, and billed.
D-2019-0073-D000AW-0001-0002.c	Open	No
Rec. 2.c: The DoD OIG recommended that the Defense Health Agency coordinate with the Health Executive Committee to develop a standardized process that allows the Department of Veterans Affairs to review and retroactively authorize all emergency and inpatient care.

Department of Defense OIG

Department of Defense

The Department of Defense Office of Inspector General was established in 1982. The mission of the DoD OIG, as established by the Inspector General Act of 1978, as amended, (5 U.S.C. Appendix); and implemented by DoD Directive 5106.01, "Inspector General of the Department of Defense," is to serve as an independent and objective office in DoD to:

a) conduct, supervise, monitor, and initiate audits, evaluations, and investigations relating to programs and operations of the Department of Defense,

b) provide leadership and coordination and recommend policies for activities designed to promote economy, efficiency, and effectiveness in the administration of, and to prevent and detect fraud and abuse in, such programs and operations,

c) provide a means for keeping the Secretary of Defense and the Congress fully and currently informed about problems and deficiencies relating to the administration of such programs and operations and the necessity for and progress of corrective action

http://www.dodig.mil

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Audit of Payments to the DoD for Medical Services Provided to Department of Veterans Affairs Beneficiaries at Selected Army Medical Centers

Related Open Recommendations