Claims processing (1 - 10 of 18 items)
VA Health Care: Actions Needed to Improve Monitoring and Oversight of Non-VA and Contract Care
GAO-15-654T: Published: Jun 1, 2015. Publicly Released: Jun 1, 2015.
GAO's recent work has found significant weaknesses in the Department of Veterans Affairs' (VA) monitoring and oversight of its Non-VA Medical Care Program. Through this program, care is provided to veterans by non-VA providers in non-VA facilities. As GAO reported in May 2013, VA did not collect data on wait times veterans face in obtaining care from non-VA providers. Having data on wait times for...
VA Benefits: Improvements Needed to Ensure Claimants Receive Appropriate Representation
GAO-13-643: Published: Aug 1, 2013. Publicly Released: Aug 30, 2013.
The Department of Veterans Affairs' (VA) Office of General Counsel (OGC) procedures do not sufficiently ensure that accredited representatives have good character and knowledge. While GAO's analysis shows that VA follows its procedures for reviewing initial accreditation applications, VA relies on limited self-reported information to determine whether applicants have a criminal history or their ch...
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans' Care, but Should Take Action to Ensure That These Data Are Complete
GAO-12-6R: Published: Oct 28, 2011. Publicly Released: Oct 28, 2011.
The Department of Veterans Affairs (VA) operates one of the largest health care delivery systems in the nation--providing health care services to more than 5 million veterans each year in over 1,000 facilities. These health care services are delivered by physicians, nurses, and other types of practitioners and range from routine examinations to complex surgical procedures. As in any health care se...
Veterans' Benefits: Training for Experienced Disability Claims Processors
GAO-10-1029T: Published: Sep 16, 2010. Publicly Released: Sep 16, 2010.
GAO was asked to present its views on the training requirements and procedures for VA personnel responsible for processing compensation and pension claims. This statement is based primarily upon an April 2010 GAO report on VA's training for experienced disability claims processors (GAO-10-445) and includes information on actions VBA says it has taken in response to our recommendations. This statem...
Veterans' Disability Benefits: Expanded Oversight Would Improve Training for Experienced Claims Processors
GAO-10-445: Published: Apr 30, 2010. Publicly Released: Apr 30, 2010.
The Veterans' Benefits Improvement Act of 2008 (P.L. 110-389) mandated that GAO evaluate the Department of Veterans Affairs VA training for disability claims processors. This report answers the following two questions: (1) How appropriate is the training provided to experienced disability claims processors? (2) How adequate is the Veterans Benefits Administration's (VBA) monitoring and assessment...
Veterans' Disability Benefits: VA Has Improved Its Programs for Measuring Accuracy and Consistency, but Challenges Remain
GAO-10-530T: Published: Mar 24, 2010. Publicly Released: Mar 24, 2010.
For years, in addition to experiencing challenges in making disability claims decisions more quickly and reducing its claims backlog, the Department of Veterans Affairs (VA) has faced challenges in improving the accuracy and consistency of its decisions. GAO was asked to discuss issues surrounding VA's Systematic Technical Accuracy Review (STAR) program, a disability compensation and pension quali...
Traumatic Brain Injury: Better DOD and VA Oversight Can Help Ensure More Accurate, Consistent, and Timely Decisions for the Traumatic Injury Insurance Program
GAO-09-108: Published: Jan 29, 2009. Publicly Released: Jan 29, 2009.
In 2005, Congress created a traumatic injury insurance benefit program, known as TSGLI, to help servicemembers with traumatic brain injury and other serious injuries with the financial burdens that they and their families face. The Department of Veterans Affairs (VA) administers the program, in collaboration with the Department of Defense (DOD), while the branches of service are responsible for de...
Veterans' Disability Benefits: Claims Processing Challenges and Opportunities for Improvements
GAO-06-283T: Published: Dec 7, 2005. Publicly Released: Dec 7, 2005.
The Chairman, Committee on Veterans' Affairs, U.S. House of Representatives, asked GAO to report on the claims processing challenges and opportunities facing the Department of Veterans Affairs (VA) disability compensation and pension program. For years, the claims process has been the subject of concern and attention within VA and by the Congress and veterans service organizations. Their concerns...
Veterans' Benefits: Quality Assurance for Disability Claims Processing
GAO-01-930R: Published: Aug 23, 2001. Publicly Released: Sep 17, 2001.
Congress, the Department of Veterans Affairs, and veterans service organizations have all raised concerns about the accuracy of claims processing in the Veterans Benefits Administration (VBA). In 1998, VBA launched its systematic technical accuracy review (STAR) system to better measure the accuracy of claims processing. The system determines accuracy rates for (1) the nation as a whole, (2) each...
Major Management Challenges and Program Risks: Department of Veterans Affairs
GAO-01-255: Published: Jan 1, 2001. Publicly Released: Jan 1, 2001.
This report, part of GAO's performance and accountability series, discusses the major management challenges and program risks facing the Department of Veterans Affairs. Health care access for veterans, compensation and pension claims processing, and agencywide management strategies are some of the most critical challenges facing the agency.Below are the reports in this series:High Risk Series: An...