United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2003-04-04 monographic deposited born digital 13 p. GA 1.13:GAO-03-402R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-03-402R P0b002ee180396a4f f:d03402r DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-03-402R machine generated eng fdlp REPORT GAOREPORTS-GAO-03-402R GAO-03-402R Fraud Health care services Internal controls Medical records Military facilities Defense Enrollment Eligibility Reporting System Correspondence A06596 In October 2002, we reported the results of our audit of selected internal control activities at three military treatment facilities: Eisenhower Army Medical Center, Augusta, Georgia; Naval Medical Center-Portsmouth, Portsmouth, Virginia; and Wilford Hall Air Force Medical Center, San Antonio, Texas. As part of our work for that report, we requested data files of all patients who had been admitted, treated as outpatients, or received pharmaceutical benefits during fiscal year 2001. Despite considerable effort by the three facilities, only Wilford Hall Air Force Medical Center was able to provide a file of beneficiaries who received pharmaceuticals during the year. We compared this file to data in the Social Security Administration's (SSA) Death Master File as a technique to identify instances of potential fraud or abuse. For Wilford Hall, we identified 41 cases in which a prescription was ordered for an individual after the date of his or her death as recorded in the SSA Death Master File. Congress requested that we determine whether individuals fraudulently obtained pharmaceuticals or other health benefits by assuming the identity of a dead person, and, if so, to identify the specific breakdowns in internal controls that allowed such fraud to occur. We confined our investigation to the 41 cases described above. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-03-402R/html/GAOREPORTS-GAO-03-402R.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-03-402R/pdf/GAOREPORTS-GAO-03-402R.pdf GAO-03-402R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-03-402R Correspondence GAO-03-402R; Military Treatment Facilities: Eligibility Follow-up at Wilford Hall Air Force Medical Center; Fraud Health care services Internal controls Medical records Military facilities Defense Enrollment Eligibility Reporting System