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VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... /> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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General Accountability Office , issued in 2016
Risk cases: 6
Audit to the Social Security Systems of Collection of Contributions and Quotes and Relationship with Banking and other Entities Engaged in Collection Initiatives
The audit aims to evaluate the effectiveness and efficiency of the processes implemented in respect of the processing schemes of contributions/quotas, whose Wages Statements (WS) entered ... into the system in the first quarter of 2007, test the reliability, stability and confidence level of the application systems developed and the respective values processed in the entire collection circuit ... and respective accounting, and also check compliance with the contracts celebrated with banking entities. ... ... Application level of Social Security IS analyzed ... Processes maturity and automation of controls appeared to be main problems in the system which reliability, stability and confidence level were tested.
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TRIBUNAL DE CONTAS DE PORTUGAL , issued in 2008
Risk cases: 2
Australian Taxation Office: Administration of Australian Business Number Registrations
More elligibility and data integrity needed The Australian Business Number (ABN) and Australian Business Register initiatives were implemented as part of theGovernment's comprehensive reform of the taxation system in 2000. Their introduction involved challenging issues of technology and governance , including the imperative to process and register significant numbers of applications in a short time. Overall, the Australian SAI concluded that the ABN registration process is operating effectively. However, matters relating to the eligibility of some ABN applicants need to be reviewed. Further, some data integrity issues remain outstanding.
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The Australian National Audit Office , issued in 2003
Risk cases: 3
Traffic Ticketing information system
The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
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State Audit Bureau of Kuwait , issued in 2014
Risk cases: 3
IT security in the Federal Administration
(FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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Swiss Federal Audit Office , issued in 2011
Risk cases: 4
Auditing the National Rationing System
The audit was to investigate the data quality, validity and reliability of two sub-systems (Ration Card and Ration Distribution) of a National Rationing System (Ration System) with the comparison ... to the rules and regulations in order to make an assessment of soundness of the Ration system and its related operations. ... Unreliable databases trigger all kinds of possible problems ... Ministry responsible for functioning of the National Rationing System developed to automate and optimize the delivery of essential subsidized commodities to eligible beneficiaries and providing state ... with reliable information fails its job.
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State Audit Bureau of Kuwait , issued in 2014
Risk cases: 4
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