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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
/> 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 ... , GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... 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.
Full description
/> 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 ... , GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... 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
Performance Audit of the Georgian Government electronic Procurement system
and fraud, which in return supports the successful implementation of country’s anti-corruption policy. To develop such environment, the system must provide confidentiality, integrity and availability ... . The audit was aimed to identify system’s shortcomings and issue recommendations to eliminate them. To accomplish audit objectives, the auditors assessed the performance of Ge-GP system’s management ... and control mechanisms. Electronic system’s management compliance to relevant laws and regulations has also been studied in the course of the audit. ... ... Electronic procurement system - how effective are management and control mechanisms? ... SAI Georgia analyzed the electronic Government Procurement system. In their report they focus on compliance and security problems, which may harm the business goals and overall mission of the system.
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and fraud, which in return supports the successful implementation of country’s anti-corruption policy. To develop such environment, the system must provide confidentiality, integrity and availability ... . The audit was aimed to identify system’s shortcomings and issue recommendations to eliminate them. To accomplish audit objectives, the auditors assessed the performance of Ge-GP system’s management ... and control mechanisms. Electronic system’s management compliance to relevant laws and regulations has also been studied in the course of the audit. ... ... Electronic procurement system - how effective are management and control mechanisms? ... SAI Georgia analyzed the electronic Government Procurement system. In their report they focus on compliance and security problems, which may harm the business goals and overall mission of the system.
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State Audit Office Of Georgia
, issued in 2016
Risk cases: 5
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