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HEHS-94-212R 1 (1994-07-29)

handle is hein.gao/gaobackpr0001 and id is 1 raw text is: 152n3 United States GAO General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-254606 July 29, 1994 The Honorable William S. Cohen Ranking Minority Member Special Committee on Aging United States Senate Dear Senator Cohen: In response to your July 1993 request, we have examined the Social Security Administration's (SSA's) new process for conducting continuing disability reviews (CDRs) based on computer profiling and beneficiary self-reported data. This new process is designed to be a more cost-effective means of assessing the continued eligibility of beneficiaries receiving Social Security disability benefits. CDRs are required by law and are important to help ensure that only those persons eligible receive benefits. We have reported on several occasions in the past that because SSA was not doing the CDRs required by law, millions of dollars in unnecessary costs are incurred each year by the Disability Insurance (DI) Trust Fund.' We also testified in March of this year before the House Social Security Subcommittee on the status of SSA's new CDR process (a copy of our testimony is enclosed). We found that beneficiary self-reported data, when used with other key information that SSA possesses, appear reliable for making decisions about when to do full medical examinations of beneficiaries scheduled for a CDR. In this regard, SSA has taken steps to further assess the reliability of the self-reported data and plans to continually refine its use of computerized beneficiary data to better predict medical improvement and likely benefit terminations. 'Social Security Disability: SSA Needs to Improve Continuing Disability Review Program (GAO/HRD-93-109, July 8, 1993); Social Security: Increasing Number of Disability Claims and Deteriorating Service (GAO/HRD-94- 11, Nov. 10, 1993). GAO/HEHS-94-212R CDR Process Could Be Enhanced

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