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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 ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... /> 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 ... 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
Data security and positions with access to confidential information
This government wide audit on information security and positions with access to confidential information has been performed at all ministries ans for each ministry also at one of the agencies ... . The 2007 Civil Service Data Information Security Decree (in Dutch: VIR 2007) is the legal foundation of the first part of this audit (data security). The Security Screening Act (in Dutch: WVO ... ) is the foundation of the second part (positions with access to confidential information). Only four of the organizations we have audited show an acceptible level of compliance with the 2007 Civil Service Data ... ... Shortcomings in information security and in positions with access to confidential information ... Surprising weaknesses were revealed by the NCA in its Government-wide operational audit performed as part of the 2011 audit into the state of central government accounts: Poor quality of data ... protection policy and poor protection of information systems. Also, non vetted positions with access to confidential information.
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Netherlands Court of Audits , issued in 2012
Risk cases: 3
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