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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
Recovery of housing allowance - easy to make mistakes
Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Swedish National Audit Office
, issued in 2018
Risk cases: 4
Management and implementation of 1BestariNet
and secondary public schools in Malaysia are equipped with high-speed 4G Internet access and a virtual learning platform, providing high-speed internet connectivity and access to a world-class Integrated Learning ... 1BestariNet Service Project (1BestariNet) is an initiative undertaken by the Malaysian Ministry of Education (MOE) to replace and enhance ICT connectivity in schools. It is an enhancement ... to the SchoolNet service which terminated on 31 December 2010 with emphasis on end-to-end solutions (E2E) network services together with Virtual Learning Environment (VLE). Under this project, 10,000 primary ... ... To answer big risks in IT systems development you need all levels of organisation ... Audit of 1BestariNet is presented by the Malaysian National Audit Department together with other IT projects reviewed. A result is this concise and instructive list of lessons learnt and failures ... to be avoided. To maximize performance and minimize vendor lock-in you need a lot of concerted effort by top and line management, as well as users ready to work with new tools.
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and secondary public schools in Malaysia are equipped with high-speed 4G Internet access and a virtual learning platform, providing high-speed internet connectivity and access to a world-class Integrated Learning ... 1BestariNet Service Project (1BestariNet) is an initiative undertaken by the Malaysian Ministry of Education (MOE) to replace and enhance ICT connectivity in schools. It is an enhancement ... to the SchoolNet service which terminated on 31 December 2010 with emphasis on end-to-end solutions (E2E) network services together with Virtual Learning Environment (VLE). Under this project, 10,000 primary ... ... To answer big risks in IT systems development you need all levels of organisation ... Audit of 1BestariNet is presented by the Malaysian National Audit Department together with other IT projects reviewed. A result is this concise and instructive list of lessons learnt and failures ... to be avoided. To maximize performance and minimize vendor lock-in you need a lot of concerted effort by top and line management, as well as users ready to work with new tools.
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National Audit Department of Malaysia
, issued in 2013
Risk cases: 4
Finally updating the central information system for VAT control
IT system to support combating VAT frauds German Bundesrechnungshof demanded to update the IT system, which plays crucial role in the European system of fighting fraud related to the Value Added Tax (VAT). This BRH's case shows that reminding about appropriate follow-up can be as important as the very recommendation.
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IT system to support combating VAT frauds German Bundesrechnungshof demanded to update the IT system, which plays crucial role in the European system of fighting fraud related to the Value Added Tax (VAT). This BRH's case shows that reminding about appropriate follow-up can be as important as the very recommendation.
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Bundesrechnungshof
, issued in 2014
Risk cases: 1
Improving government’s planning and spending framework
Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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National Audit Office
, issued in 2018
Risk cases: 7
Smart tax administration system
Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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National Audit Office of the Republic of Lithuania
, issued in 2019
Risk cases: 5
The Actıvıtıes Carrıed out wıthın the Framework of e-Transformatıon Turkey Project
'e-Transformation Turkey' Project Turkish SAI report presents a checklist of issues, which were spotted during the large scale e-Government transformation.
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'e-Transformation Turkey' Project Turkish SAI report presents a checklist of issues, which were spotted during the large scale e-Government transformation.
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Turkish Court of Accounts
, issued in 2006
Risk cases: 4
VAT risk assessment - better use made of information generated by inspections on company premise
Tax inspections may add up to the VAT risk assessment, but... The audit by the German BRH shows that general tax inspections on company premises can also reveal facts that may be relevant for VAT risk assessment. 'However, this information cannot be adequately used for VAT risk assessment because it is not available in electronic format.'
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Tax inspections may add up to the VAT risk assessment, but... The audit by the German BRH shows that general tax inspections on company premises can also reveal facts that may be relevant for VAT risk assessment. 'However, this information cannot be adequately used for VAT risk assessment because it is not available in electronic format.'
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Bundesrechnungshof
, issued in 2016
Risk cases: 1
Effectiveness of internal controls in the protection of personal data in national databases
The NAO analysed seven national databases in order to find out how the legitimate use of personal data is ensured. In accordance with the Personal Data Protection Act, the agencies who run databases ... must ensure that personal data is protected from abuse. The information system of the database must function appropriately, incl. be reliable and safe. Log files must be retained of all instances ... of viewing, amending, deleting, transmitting of data, etc. These files must allow ex-post determination of who did what, why, when and using which data. In its audit the NAO focused on the functioning ... ... Basic controls analysis can fail in data protection ... Estonian SAI analyzed personal data safety. Main finding were: poor log analysis and unprotected data.
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The NAO analysed seven national databases in order to find out how the legitimate use of personal data is ensured. In accordance with the Personal Data Protection Act, the agencies who run databases ... must ensure that personal data is protected from abuse. The information system of the database must function appropriately, incl. be reliable and safe. Log files must be retained of all instances ... of viewing, amending, deleting, transmitting of data, etc. These files must allow ex-post determination of who did what, why, when and using which data. In its audit the NAO focused on the functioning ... ... Basic controls analysis can fail in data protection ... Estonian SAI analyzed personal data safety. Main finding were: poor log analysis and unprotected data.
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National Audit Office of Estonia
, issued in 2008
Risk cases: 2
The BBC’s understanding of its audiences and users
Understand your audience, BBC Audience data and insights are critical to the success of broadcasters - which is also true in the case of the world renowned British Broadcasting Corporation. Auditors reviewed the BBC's main projects and the analyst team dedicated to collect and interpret the audience related information. Data coherence, review of performance and benefits traicing - belong to key areas in need of substantial refinements.
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Understand your audience, BBC Audience data and insights are critical to the success of broadcasters - which is also true in the case of the world renowned British Broadcasting Corporation. Auditors reviewed the BBC's main projects and the analyst team dedicated to collect and interpret the audience related information. Data coherence, review of performance and benefits traicing - belong to key areas in need of substantial refinements.
Full description
National Audit Office
, issued in 2019
Risk cases: 6