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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
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 ... 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 ... 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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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 ... 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 ... 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
Incorrect payments in social insurance - Control activities of the Swedish Social Insurance Agency
/> The Swedish NAO audited the work of the Government and the Swedish Social Insurance Agency to prevent incorrect payments in the period 2012–2015. The audit focused on the benefits for which the Swedish Social ... Insurance Agency is responsible. The audited benefits account for half of the insurance expenditure, half of the payments that are incorrect and for more than 70 per cent of the amount the Swedish Social ... a good picture of how the overall work of the Government and the Swedish Social Insurance Agency to prevent incorrect payments has been conducted. In the latest study incorrect payments of these benefits ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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/> The Swedish NAO audited the work of the Government and the Swedish Social Insurance Agency to prevent incorrect payments in the period 2012–2015. The audit focused on the benefits for which the Swedish Social ... Insurance Agency is responsible. The audited benefits account for half of the insurance expenditure, half of the payments that are incorrect and for more than 70 per cent of the amount the Swedish Social ... a good picture of how the overall work of the Government and the Swedish Social Insurance Agency to prevent incorrect payments has been conducted. In the latest study incorrect payments of these benefits ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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Swedish National Audit Office
, issued in 2016
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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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
Protection of automatically processed personal data
resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... of the processing of personal data. The audit was conducted at the SDPI, data and information was collected at the Ministry of Justice, Ministry of Transport and Communications, Ministry of Health, Ministry ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... of the processing of personal data. The audit was conducted at the SDPI, data and information was collected at the Ministry of Justice, Ministry of Transport and Communications, Ministry of Health, Ministry ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Report on the government’s processing of confidential data on persons and companies
Rigsrevisionen has examined how eight government institutions process confidential data on persons and companies in 11 selected IT systems. The report is based on IT audits carried out in connection ... with the annual audit in the spring 2014. The purpose of the audit was to assess whether confidential data on persons and companies are adequately protected by the government institutions. ... ... Inadequate protection of confidential data ... If a government institution does not protect confidential data to the extent necessary, the risk that third parties get unauthorized access to the data is very high. In opinion of the Danish SAI ... , inadequate protection of confidential data may also erode the citizens’ and companies’ confidence in government data security. That may eventually become a barrier for the continued efforts to implement ... e-government and make government administration more efficient.
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Rigsrevisionen has examined how eight government institutions process confidential data on persons and companies in 11 selected IT systems. The report is based on IT audits carried out in connection ... with the annual audit in the spring 2014. The purpose of the audit was to assess whether confidential data on persons and companies are adequately protected by the government institutions. ... ... Inadequate protection of confidential data ... If a government institution does not protect confidential data to the extent necessary, the risk that third parties get unauthorized access to the data is very high. In opinion of the Danish SAI ... , inadequate protection of confidential data may also erode the citizens’ and companies’ confidence in government data security. That may eventually become a barrier for the continued efforts to implement ... e-government and make government administration more efficient.
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Managing the risk of legacy ICT to public service delivery
The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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National Audit Office
, issued in 2013
Risk cases: 3
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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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
Parallel Audit on Biometric Passports - Overall Results (anonymised)
A biometric passport (or ePassport) contains biometric information which serves to authenticate the identity of travellers. Biometric passport management is the process of establishing ... and implementing the regulation on standards for security features and biometrics in passports and travel documents issued by the member states. The aim is to develop and maintain efficient and secure biometric ... passport production procedures (see page 5). ... EUROSAI ITWG: Parallel Audit on Biometric Passports ... process is generally under control while a couple of high-risk findings were identified in the non-process-specific assessments. In the non-process-specific assessments, most of the countries found ... Swiss SAI summed up results of audits concluded in seven countries (Belgium, Latvia, Lithuania, Norway, Portugal, Switzerland). The evaluation of the reported results showed that the overall passport ... deficiencies and weaknesses related to the IS/IT system and the IT management. Medium risks have been identified in the area of laws and regulations, cost-benefit realisation and transparency, as well
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A biometric passport (or ePassport) contains biometric information which serves to authenticate the identity of travellers. Biometric passport management is the process of establishing ... and implementing the regulation on standards for security features and biometrics in passports and travel documents issued by the member states. The aim is to develop and maintain efficient and secure biometric ... passport production procedures (see page 5). ... EUROSAI ITWG: Parallel Audit on Biometric Passports ... process is generally under control while a couple of high-risk findings were identified in the non-process-specific assessments. In the non-process-specific assessments, most of the countries found ... Swiss SAI summed up results of audits concluded in seven countries (Belgium, Latvia, Lithuania, Norway, Portugal, Switzerland). The evaluation of the reported results showed that the overall passport ... deficiencies and weaknesses related to the IS/IT system and the IT management. Medium risks have been identified in the area of laws and regulations, cost-benefit realisation and transparency, as well
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Swiss Federal Audit Office
, issued in 2015
Risk cases: 4
Storage of Electronic Documents and Data at the National Archives of Latvia
Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
Audit of the key ICT project federal GEVER programme Federal Chancellery
During the first stage, two new GEVER (electronic records and process management) products were procured in an open WTO tender within the framework of the two-product strategy (federal GEVER WTO ... procurement project). CHF 1.6 million was spent on these. The departments and Federal Chancellery (departments/FCh) had to choose one of the two products within three months of the contract being awarded. ... ... Advanced process management system's cost-effectiveness and deadlines at risk ... Ever since 1990, sequential controls and file management have been part of the Federal Administration's IT landscape (GEVER business administration). Significant obstacles have to be overcome ... in order to ensure the successful creation and introduction of GEVER. Previous efforts did not have any widespread success and led to a diverse GEVER landscape. The federal GEVER project has now laid ... the foundations for simplification and centralisation.
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During the first stage, two new GEVER (electronic records and process management) products were procured in an open WTO tender within the framework of the two-product strategy (federal GEVER WTO ... procurement project). CHF 1.6 million was spent on these. The departments and Federal Chancellery (departments/FCh) had to choose one of the two products within three months of the contract being awarded. ... ... Advanced process management system's cost-effectiveness and deadlines at risk ... Ever since 1990, sequential controls and file management have been part of the Federal Administration's IT landscape (GEVER business administration). Significant obstacles have to be overcome ... in order to ensure the successful creation and introduction of GEVER. Previous efforts did not have any widespread success and led to a diverse GEVER landscape. The federal GEVER project has now laid ... the foundations for simplification and centralisation.
Full description
Swiss Federal Audit Office
, issued in 2015
Risk cases: 2