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HRD-83-65 1 (1983-06-10)

handle is hein.gao/gaobabmzu0001 and id is 1 raw text is: 



                  UNITED STATES GENERAL ACCOUNTING OFFICE
                          WASHINGTON, D.C. 20548

HUMAN RICSOURC=SI
   OIVISION                                       June 10, 1983

      B-211533                121666

      The Honorable Howard M. Metzenbaum
      United States Senate

      Dear Senator Metzenbaum:

           Subject: SSA Needs to Protect Against Possible Conflicts
                     of Interest in Its Disability Programs
                     (GAO/HRD-83-65)

           In a December 16, 1981, letter, you asked us to address
      several concerns you had about the Social Security Administra-
      tion's (SSA's) review of the disability rolls and the large num-
      ber of persons losing their benefits as a result of this ef-
      fort.. Included in your request were specific questions about
      the consultative examinations used in making the eligibility
      decisions.

          We addressed the broader issues affecting SSA's disability
      investigations in a briefing presented to your office in May
      1982 and in testimony provided to two congressional subcommit-
      tees in May and August 1982.1 However, because of the impor-
      tance and complexity of the consultative examination issue, we
      agreed to study this matter separately. We began a survey of
      the consultative examination process in September 1982.

          We have concluded that SSA's policies need to be revised to
     protect against possible conflicts of interest on the part of
     physicians working for the various State Disability Determina-
     tion Services (DDSs) and under contract to SSA. We identified a
     loophole in SSA's policies whereby physicians are prohibited
     from performing consultative examinations (unless there is no
     other qualified medical resource available), but are permitted
     to have familial or financial interests in firms or organiza-
     tions performing them.




     1We also testified on April 7 and May 20, 1983, before the Sen-
     ate Special Committee on Aging and the House Select Committee
     on Aging, respectively, regarding SSA's adjudication process
       for mentally impaired persons.

                                                            (105302)


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