Inadequate Oversight Allowed a Senior Benefits Representative to Inaccurately Authorize Thousands of Decisions

The VA OIG substantiated an allegation that a senior veterans service representative blindly approved hundreds of rating decisions for disability benefits claims each day without conducting the required reviews.

Stack of reports. Office of Audits and Evaluations.

Inadequate Oversight Allowed a Senior Benefits Representative to Inaccurately Authorize Thousands of Decisions

September 29, 2025

The VA OIG substantiated an allegation that a senior veterans service representative blindly approved hundreds of rating decisions for disability benefits claims each day without conducting the required reviews.

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Message from the IG

Message from the IG

Suicide Prevention Awareness Month

Click to Watch IG Mason's Message

VHA Did Not Effectively Oversee the Use of Manual Journal Vouchers

This VA OIG audit found that limited staff training, ineffective use of a journal voucher generator tool, and inconsistent oversight at the regional level of medical facilities’ financial teams led to an estimated 76 percent of manual journal vouchers lacking one or more required elements, such as clear justification.

VHA Did Not Effectively Oversee the Use of Manual Journal Vouchers

September 26, 2025

This VA OIG audit found that limited staff training, ineffective use of a journal voucher generator tool, and inconsistent oversight at the regional level of medical facilities’ financial teams led to an estimated 76 percent of manual journal vouchers lacking one or more required elements, such as clear justification.

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Better Guidance and Measures Would Help Optimize the Productivity of Clinical Resource Hub Physicians

As directed under the MISSION Act, VA created clinical resource hubs to improve healthcare access for veterans in underserved areas. This audit found that despite the increase in patient encounters, physicians in some hub primary care and specialty group practices generally did not appear to meet established minimum productivity thresholds.

Better Guidance and Measures Would Help Optimize the Productivity of Clinical Resource Hub Physicians

September 24, 2025

As directed under the MISSION Act, VA created clinical resource hubs to improve healthcare access for veterans in underserved areas. This audit found that despite the increase in patient encounters, physicians in some hub primary care and specialty group practices generally did not appear to meet established minimum productivity thresholds.

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Deficiencies in Consult Management in the Endocrinology Service at the VA Fayetteville Coastal Healthcare System in North Carolina

The VA OIG conducted this healthcare inspection after receiving allegations regarding internal endocrine consult management, endocrine clinic utilization, and patient access to gender-affirming hormone therapy. As part of the inspection, the OIG further evaluated leaders’ awareness of and response to these concerns.

Deficiencies in Consult Management in the Endocrinology Service at the VA Fayetteville Coastal Healthcare System in North Carolina

September 23, 2025

The VA OIG conducted this healthcare inspection after receiving allegations regarding internal endocrine consult management, endocrine clinic utilization, and patient access to gender-affirming hormone therapy. As part of the inspection, the OIG further evaluated leaders’ awareness of and response to these concerns.

Click to Read the Report