department of labor: philadelphia

8/14/2019 Department of Labor: philadelphia

1/17

OIG PERSPECTIVE ON FECAOIG PERSPECTIVE ON FECA

Past, Present and FuturePast, Present and Future

WorkWork


2/17

Selected OIG WorkSelected OIG WorkAgency SpecificAgency Specific

OWCPOWCP

Executive/LegislativeExecutive/Legislative


3/17

Agency SpecificAgency Specific

Inadequate Monitoring for Refunds and CreditsInadequate Monitoring for Refunds and Creditsfor Overpayments and Third Partyfor Overpayments and Third PartyReimbursementsReimbursements (USPS 2002)(USPS 2002)

Ineffective Monitoring of Death Benefit ClaimsIneffective Monitoring of Death Benefit Claimsfor Payments to Ineligible Survivorsfor Payments to Ineligible Survivors (USPS 2003, 2004)(USPS 2003, 2004)

Untimely Submission of Injury ClaimsUntimely Submission of Injury Claims ((USPS 2000,USPS 2000,DOE 2005)DOE 2005)


4/17

Agency SpecificAgency Specific

Chargeback Reports not AdequatelyChargeback Reports not AdequatelyReviewedReviewed (SSA 2001, DOE 2005)(SSA 2001, DOE 2005)

Medical Status Not Monitored toMedical Status Not Monitored to

Substantiate Continuing DisabilitySubstantiate Continuing Disability (SSA 2001)(SSA 2001)

Inadequate Monitoring of LongInadequate Monitoring of Long--TermTerm

CasesCases (DOT 2002, DOE 2005, VA 2004)(DOT 2002, DOE 2005, VA 2004)


5/17

Agency SpecificAgency SpecificContinuation of Pay Not MonitoredContinuation of Pay Not Monitored (USPS(USPS

Multiple Reports, DOE 2005)Multiple Reports, DOE 2005)

Missed Opportunities for Return to WorkMissed Opportunities for Return to Work (VA(VA2004)2004)

No Review of Unreported WorkersNo Review of Unreported WorkersCompensation Dual BenefitsCompensation Dual Benefits (VA 2004, SSA 2003)(VA 2004, SSA 2003)


6/17

OWCPOWCPPayments to Deceased ClaimantsPayments to Deceased Claimants (DOL 1998)(DOL 1998)

Over/Under Payments Related toOver/Under Payments Related to

Scheduled AwardsScheduled Awards (USPS 2006)(USPS 2006)

Medical Fee Schedule Used by OWCPMedical Fee Schedule Used by OWCP

Had Positive Impact on USPSHad Positive Impact on USPS MedicalMedicalCostsCosts (USPS 2005)(USPS 2005)


7/17

OWCPOWCPClaimants With No Earning CapacityClaimants With No Earning Capacity

Did Not Report WagesDid Not Report Wages (DOL 2000)(DOL 2000)

Need to Follow Procedures to DetectNeed to Follow Procedures to DetectUnreported WagesUnreported Wages (DOL 2000, 2003)(DOL 2000, 2003)

Need to Take Action When WagesNeed to Take Action When Wages

Were DetectedWere Detected (DOL 2000)(DOL 2000)


8/17

OWCPOWCPMedical Bill Processing Errors by 3Medical Bill Processing Errors by 3rdrd

Party (Central Bill Processing)Party (Central Bill Processing) (DOL 2004)(DOL 2004)

No System to Track and RecordNo System to Track and Record

Medical OverpaymentsMedical Overpayments (DOL 2004)(DOL 2004)


9/17

OWCPOWCP

Recovery of OverpaymentsRecovery of Overpayments (DOL 1998)(DOL 1998)

OWCP Response to Case ManagementOWCP Response to Case ManagementRequestsRequests (VA 2004, DOE 2005, USPS)(VA 2004, DOE 2005, USPS)


10/17

Executive/LegislativeExecutive/LegislativeCrossmatchCrossmatch With SSA Records WouldWith SSA Records Would

Assist OWCP in IdentifyingAssist OWCP in IdentifyingUnreported WagesUnreported Wages (DOL 2000)(DOL 2000)

CrossmatchCrossmatch Would Assist OWCP inWould Assist OWCP in

Identifying Unreported CompensationIdentifying Unreported Compensation

From Other ProgramsFrom Other Programs (SSA 1999)(SSA 1999)


11/17

Executive/LegislativeExecutive/LegislativeCurrent FECA Benefit Structure is HighCurrent FECA Benefit Structure is Highand Discourages Claimant Return to Workand Discourages Claimant Return to Work(GAO 2001)(GAO 2001)

Claimants Can Receive 3Claimants Can Receive 3rdrd PartyParty

Reimbursements While Receiving FederalReimbursements While Receiving FederalSalary During the 45 Day COPSalary During the 45 Day COP (GAO 2001)(GAO 2001)

Savings Would be Realized if PermanentSavings Would be Realized if PermanentDisabled Moved to Retirement SystemDisabled Moved to Retirement System (GAO(GAO2001, USPS 2002)2001, USPS 2002)


12/17

Current WorkCurrent Work


13/17

Current FECA WorkCurrent FECA WorkSocial Security AdministrationSocial Security Administration

WageWage CrossmatchCrossmatch

Determine whether Federal employees areDetermine whether Federal employees are

receiving FECA payments when wages werereceiving FECA payments when wages were

reported on SSA Master Earnings Filereported on SSA Master Earnings File


14/17

Current FECA WorkCurrent FECA Work

Department of LaborDepartment of LaborData MiningData Mining

Assess whether data mining and otherAssess whether data mining and other

techniques can enhance the identification oftechniques can enhance the identification of

claimants who should be removed from theclaimants who should be removed from the

Periodic Roll and/or returned to workPeriodic Roll and/or returned to work


15/17

Current FECA WorkCurrent FECA WorkDepartment of LaborDepartment of Labor

Ineligible DependentsIneligible Dependents

Does OWCP reduce the number ofDoes OWCP reduce the number of

dependents for claimants whose children havedependents for claimants whose children havereached adulthood?reached adulthood?

Are FECA claimants still collecting benefits onAre FECA claimants still collecting benefits onspouses whom the claimants have divorced orspouses whom the claimants have divorced or

who are deceased?who are deceased?


16/17


US Postal ServiceUS Postal Service

Fee ScheduleFee Schedule AdjudicationAdjudication


17/17


Department of CommerceDepartment of Commerce

Comprehensive Evaluation of theComprehensive Evaluation of the

Commerce WorkersCommerce Workers Compensation ProgramCompensation Program

department of labor: philadelphia

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