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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
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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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
IT security in the Federal Administration
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 ... (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 ... 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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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 ... (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 ... 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
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