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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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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
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
Management and protection of assets in the field of the information-communication technologies at the AO SR
The Supreme Audit office of the Slovak Republic (SAO SR) has executed the audit at the Antimonopoly Office of the Slovak Republic (AO SR) for the audit period 2010 and 2011 to verify the operation ... and security of the information-communication technologies (ICT) and the information systems of the public administration (ISPA) as well as the state assets administration, the economy and disposal ... with the state assets, the compliance with the generally binding legal regulations and the general statues in the field of the ISPA. There were 24 irregularities found, mainly in the field of the protection ... ... ... Failure to comply with the law leads to unnecessary jeopardizing of data security ... The audit in the field of the information systems of the public administration (ISPA) executed by the Supreme Audit Office of the Slovak Republic at the Antimonopoly Office of the Slovak Republic (AO ... SR) exposed several deficiencies related to the information systems and the data security as a consequence of a lawbreaking.
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The Supreme Audit office of the Slovak Republic (SAO SR) has executed the audit at the Antimonopoly Office of the Slovak Republic (AO SR) for the audit period 2010 and 2011 to verify the operation ... and security of the information-communication technologies (ICT) and the information systems of the public administration (ISPA) as well as the state assets administration, the economy and disposal ... with the state assets, the compliance with the generally binding legal regulations and the general statues in the field of the ISPA. There were 24 irregularities found, mainly in the field of the protection ... ... ... Failure to comply with the law leads to unnecessary jeopardizing of data security ... The audit in the field of the information systems of the public administration (ISPA) executed by the Supreme Audit Office of the Slovak Republic at the Antimonopoly Office of the Slovak Republic (AO ... SR) exposed several deficiencies related to the information systems and the data security as a consequence of a lawbreaking.
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Supreme Audit Office of the Slovak Republic
, issued in 2011
Risk cases: 4
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