"Pervasive deficiencies" are plaguing the Centers for Medicare and Medicaid Services' internal controls over contracts, a situation which increases "the risk of improper payments or waste," according to a report made public Tuesday by the U.S. Government Accountability Office.
The agency found that based on a random sample of 2008 CMS contract actions, "at least 84.3% of fiscal year 2008 contract actions contained at least one instance where a key control was not adequately implemented."
Further, the report said, at least 37.2% of contract actions in fiscal 2008 had three or more instances in which a key control was not adequately implemented.
Among some of the deficiencies:
The GAO issued 10 recommendations for executive action to fix the problems within CMS and the Department of Health and Human Services.