Disability Insurance, SSA Needs to Better Track Efforts and Evaluate Options and Recover Debt and Deter Potential Fraud : Report to the Chairman of the Subcommittee on Social Security, Committee on Ways and Means, House of Representatives PDF Download
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Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Disability insurance
Languages : en
Pages : 51
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Book Description
Author: U.s. Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781973910817
Category : Disability insurance
Languages : en
Pages : 58
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Book Description
" SSA's DI program provides cash benefits to millions of Americans who can no longer work due to a disability. While most benefits are paid correctly, beneficiary or SSA error can result in overpayments-that is, payments made in excess of what is owed. In fiscal year 2015, SSA detected $1.2 billion in new overpayments, adding to growing cumulative debt. Further, when individuals inappropriately obtain benefits in certain situations, SSA can levy penalties or withhold benefits for a period of time. GAO was asked to study the use of these actions, and SSA efforts to recover overpayments. This report examined how and to what extent SSA recovers overpayments, and imposes penalties and sanctions. GAO analyzed data on existing DI overpayments and repayment amounts at the end of fiscal year 2015 to determine the effect of potential improvements in recovery methods on collection amounts; and reviewed relevant federal laws, regulations, policies, and studies. "
Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Disability insurance
Languages : en
Pages : 51
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Book Description
Author: United States. Government Accountability Office
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Daniel Bertoni
Publisher: DIANE Publishing
ISBN: 1437987559
Category : Political Science
Languages : en
Pages : 22
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Book Description
The Social Security Administration's (SSA) Disability Insurance (DI) program paid almost $123 billion in benefits in fiscal year 2010 to more than 10 million workers and dependents. The program has grown rapidly in recent years and is poised to grow further as the baby boom generation ages. This testimony discusses: (1) what is known about the extent SSA makes work-related overpayments to, and recovers overpayments from, DI beneficiaries; and (2) SSA's policies and procedures for work continuing disability reviews and potential DI program vulnerabilities that may contribute to overpayments to beneficiaries who have returned to work. Charts and tables. This is a print on demand report.
Author: Daniel Bertoni
Publisher: DIANE Publishing
ISBN: 1437989454
Category : Political Science
Languages : en
Pages : 48
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Book Description
The Social Security Administration's (SSA) Disability Insurance (DI) program paid almost $123 billion in benefits in fiscal year 2010 to more than 10 million workers and dependents. The program is poised to grow further as the baby boom generation ages. This report examined: (1) what is known about the extent to which SSA makes overpayments to, and recovers overpayments from, DI beneficiaries who exceed program earnings guidelines; and (2) potential DI program vulnerabilities that may contribute to overpayments to beneficiaries who have returned to work. Includes recommendations. Charts and tables. This is a print on demand edition of an important, hard-to-find report.
Author: U.s. Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781546579779
Category : Disability insurance
Languages : en
Pages : 38
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Book Description
SSA's Disability Insurance (DI) and Supplemental Security Income (SSI) programs provide cash benefits to millions of Americans with disabilities who are unable to work. Collectively, payments from DI and SSI were about $200 billion in fiscal year 2015. Although the extent of fraud in these programs is unknown, recent high-profile cases have highlighted instances in which individuals fraudulently obtained millions of dollars in benefits. GAO was asked to review SSA's fraud risk management. This report examines SSA's actions to manage fraud risks and the extent to which these actions align with leading practices for (1) establishing an organizational culture and structure conducive to fraud risk management, (2) identifying, assessing, and addressing fraud risks, and (3) monitoring and evaluating its antifraud activities. GAO reviewed SSA documents, such as training materials and operational guidance; and interviewed SSA officials at the agency's headquarters, its three fraud examination units, and selected state disability determination offices chosen for their proximity to antifraud initiatives. GAO assessed those actions against leading practices identified in its Fraud Risk Framework.
Author: Office, U.s. Government Accountability
Publisher:
ISBN: 9781974621767
Category :
Languages : en
Pages : 48
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Book Description
"THe Social Security Administration's(SSA) Disability Insurance (DI)program paid almost $123 billion inbenefits in fiscal year 2010 to morethan 10 million workers anddependents. The program is poised togrow further as the baby boomgeneration ages. GAO examined (1)what is known about the extent towhich SSA makes overpayments to,and recovers overpayments from, DIbeneficiaries who exceed programearnings guidelines, and (2) potentialDI program vulnerabilities that maycontribute to overpayments tobeneficiaries who have returned towork. To answer these questions, GAOreviewed work continuing disabilityreview (work CDR) policies andprocedures, interviewed SSAheadquarters and processing centerofficials, visited 4 of 8 processingcenters, and reviewed a randomnongeneralizable sample of 60 CDRcase files across those 4 centers (15from each). GAO recommends that SSA developand adopt agencywide performancegoals for recovering DI overpaymentsand processing work CDRs, requiresupervisory review of certainrepayment plans, address a systemlimitation which precludes an accuraterecord of debt owed SSA, and exploreoptions for obtaining more timelyearnings information. SSA agreed withfour of five recommendations. Itdisagreed with the need forsupervisory review of repayment..."
Author: U.s. Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781544007786
Category :
Languages : en
Pages : 46
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Book Description
The Social Security Administration (SSA) has policies and procedures in place for detecting and preventing fraud with regard to disability benefit claims. However, GAO identified a number of areas that could leave the agency vulnerable to physician-assisted fraud and other fraudulent claims: - SSA relies heavily on front-line staff in the offices of its disability determination services (DDS)-which have responsibility for reviewing medical evidence-to detect and prevent potential fraud. However, staff said it is difficult to detect suspicious patterns across claims, as directed by SSA policy, given the large number of claims and volume of medical information they review. Moreover, DDS offices generally assign claims randomly, so staff said it would only be by chance that they would review evidence from the same physician. - SSA and, in turn, DDS performance measures that focus on prompt processing can create a disincentive for front-line staff to report potential fraud because of the time it requires to develop a fraud referral. Four of the five DDS offices GAO visited count time that staff spend on documenting potential fraud and developing fraud referrals against their processing time. Some staff at these DDS offices said this creates a reluctance to report potential fraud. - The extent of anti-fraud training for staff varied among the five offices GAO visited and was often limited. SSA requires all DDSs to provide training to newly hired staff that includes general information on how to identify potential fraud, but does not require additional training. The five DDS offices GAO visited varied in whether staff received refresher training and its content-such as how to spot suspicious medical evidence from physicians-and staff at all levels said they needed more training on these issues. - SSA has not fully evaluated the risk associated with accepting medical evidence from physicians who are barred from participating in federal health programs. Although information from these physicians is not necessarily fraudulent, it could be associated with questionable disability determinations.
Author: Gary C. Santiago
Publisher:
ISBN: 9781634825665
Category : BUSINESS & ECONOMICS
Languages : en
Pages : 156
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Book Description
Social Security Disability Insurance (SSDI) is a social insurance program that provides benefits to insured workers under the full retirement age who meet the statutory test of disability and to their eligible dependents. Unlike some other federal programs, benefit payments and administrative costs associated with the SSDI program are paid not out of the General Fund but from a dedicated Federal Disability Insurance (DI) Trust Fund in the U.S. Treasury. This book provides an overview of the DI trust fund and examines potential solutions to improve the DI trust fund's solvency in the short term. The Social Security Administration (SSA) has policies and procedures in place for detecting and preventing fraud with regard to disability benefit claims. This book reviews how well SSA's policies and procedures are designed and implemented to detect and prevent physician-assisted fraud; and the steps SSA is taking to improve its ability to prevent physician-assisted fraud.
Author: United States
Publisher:
ISBN:
Category : Debts, Public
Languages : en
Pages : 94
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Book Description
