he Health Care System’s approximately $6.9 million in reimbursements to the medical school during academic year 2015–2016 are considered improper payments. In addition, there was no assurance the Health Care System received all of the resident services that it paid for. Health Care System managers also did not effectively oversee time and attendance for part-time physicians because they did not monitor time and attendance and ensure part-time physicians recorded work hours daily in the system. Because the Health Care System did not reconcile payments made to part-time physicians on adjustable work schedules with their actual work performance, it made approximately $507,000 in improper payments and there was no assurance that these physicians were fully meeting their VA employment obligations.

Source: Report Summary