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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
Submission of data to national databases in municipalities, towns and cities
The National Audit Office analysed the activities of the database managers following a ruling made by the Supreme Court in 2010, which stated that the public functions assigned to local authorities ... must be clearly financed from the state budget. It was also assessed whether the measures taken by database managers have been sufficient to guarantee that local authorities submit all required data ... and that these data are correct. ... ... Funds as basic factor of data processing ... The NAO of Estonia audited the activities of state agencies in the management of the database selected for the audit, to which local authorities are obliged to submit data. It was found that in most ... cases the state does not compensate the costs of data submission for local governments.
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The National Audit Office analysed the activities of the database managers following a ruling made by the Supreme Court in 2010, which stated that the public functions assigned to local authorities ... must be clearly financed from the state budget. It was also assessed whether the measures taken by database managers have been sufficient to guarantee that local authorities submit all required data ... and that these data are correct. ... ... Funds as basic factor of data processing ... The NAO of Estonia audited the activities of state agencies in the management of the database selected for the audit, to which local authorities are obliged to submit data. It was found that in most ... cases the state does not compensate the costs of data submission for local governments.
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National Audit Office of Estonia
, issued in 2013
Risk cases: 1
Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... . and relevant health staff and the patients have direct digital access to updated medical data round the clock. The report answers the following questions: 1) Has the Ministry of Health and the NHA provided ... ... Involvement of key participants necessary from the very beginning ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows
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The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... . and relevant health staff and the patients have direct digital access to updated medical data round the clock. The report answers the following questions: 1) Has the Ministry of Health and the NHA provided ... ... Involvement of key participants necessary from the very beginning ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Online fraud
Uneven response to online fraud This type of fraud can affect everyone, but yet it is not a strategic priority for local police forces and the response from industry is uneven. UK NAO underlines: For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It is a crime that can affect everyone. Fraud is now the most commonly experienced crime in England and Wales, is growing rapidly and demands an urgent response. Yet fraud is not a strategic priority for local police forces, and the response from industry is uneven.
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Uneven response to online fraud This type of fraud can affect everyone, but yet it is not a strategic priority for local police forces and the response from industry is uneven. UK NAO underlines: For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It is a crime that can affect everyone. Fraud is now the most commonly experienced crime in England and Wales, is growing rapidly and demands an urgent response. Yet fraud is not a strategic priority for local police forces, and the response from industry is uneven.
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National Audit Office
, issued in 2017
Risk cases: 6
Operation of the Hungarian State Holding Company in 2009
The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report.
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The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report.
Full description
State Audit Office of Hungary
, issued in 2010
Risk cases: 2
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