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089014 1 (1977-05-10)

handle is hein.gao/gaobacvac0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 HUMAN RESOURCES DIVISION MAY 10 1977 Mr. Wallace E. Busbee Director, Internal Audit Service LMOB9014 Veterans Administration Dear Mr. Busoee: In accordance with the Federal Collection Act of 1966, indebtedness claims are referred to the General Accounting Office for collection when an agency has exhausted its collection procedures. Our Claims Division has recently received numerous indebtedness referrals from the Hines, Illinois, VA hospital for medical treatment to persons who were suosequentlv found to not be eliqible for VA medical benefits. Several of these cases are claims against persons who nad Deen found ineligible for hospital benefits during a previous stay in Hines. In addition, the time it takes to determine eligibility seems to us to be excessive. We are bringing these matters to your attention because an evaluation of the admitting procedures at Hines seems to be necessary. We believe, moreover, that you may wish to determine whether these practices are widespread in the VA system. PATIENTS READMITTED SUBSEQUENT TO BEING DECLARED INELIGIBLE Thirty cases were referred to GAO for collection from tne Hines VA hospital for hospital stays from November 1972 to June 1976. The amount of the claims totaled about $89,000. In 14 of these cases, the same patient had been admitted to the hospital or the outpatient clinic more than once and in one case the same patient had been treated eight times. These claims totaled about $20,000. Below are several examples of persons who were readmitted for treatment and nave been declared ineligible for VA medical care. 9 ./ ......./

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