All Reports

Inadequate Oversight Allowed a Senior Benefits Representative to Inaccurately Authorize Thousands of Decisions
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24-03608-203
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Topics:  Claims and Appeals

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Benefits Administration (VBA)

Review all processing errors on cases the OIG review team identified, correct those errors to the extent possible, and report back on the results of those actions.

No. 2
Open Recommendation Image, Square
to Veterans Benefits Administration (VBA)

Evaluate the effectiveness of control activities specifically for authorization rate outliers and determine whether new or stronger controls are needed.

Total Monetary Impact of All Recommendations
Open: $ 2,200,000.00
Closed: $ 0.00
Not All VA Disability Compensation Examiners Completed Training Before Providing PACT Act Medical Opinions
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24-00758-138
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Topics:  Claims and Appeals

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Benefits Administration (VBA)

Ensure a disability compensation examiner who has completed PACT Act training provides an independent assessment and medical opinion for the 29 VHA and five VBA nonpresumptive PACT Act opinions identified by the Office of Inspector General that were provided before completing PACT Act training, and readjudicate the claims as needed.

VA Can Strengthen Appeals Processing and Tracking by Improving Caseflow Program Management
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24-01457-114
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Topics:  Claims and Appeals ● Information Technology and Security

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Information and Technology (OIT)

Evaluate whether VA should establish an enterprise-wide governance structure for Caseflow development, consistent with VA’s initial comprehensive plan to Congress.

No. 2
Open Recommendation Image, Square
to Information and Technology (OIT)

Develop a well-defined roadmap for the future development and implementation of Caseflow.

No. 3
Open Recommendation Image, Square
to Information and Technology (OIT)

Enforce contract requirements through improved oversight, ensuring violations are identified and remediated.

VBA’s Special Monthly Compensation Calculator in the Veterans Benefits Management System for Rating Did Not Always Produce Accurate Results
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24-01083-112
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Topics:  Claims and Appeals

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Benefits Administration (VBA)

Ensure all erroneous scenarios in the Veterans Benefits Management System for Rating special monthly compensation calculator identified in this review are corrected and certify the results to the VA Office of Inspector General.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Benefits Administration (VBA)
Closure Date: 10/2/2025

Establish a plan to conduct additional testing of the Veterans Benefits Management System for Rating special monthly compensation calculator to ensure its accuracy.

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