$1.3 Billion In "Improper" Payments, Most Of Them Being Claimants Not Getting All They Were Supposed To Get

     From a recent report by Social Security's Office of Inspector General (OIG) (emphasis added):

... Once a beneficiary becomes entitled to OASDI [Old Age, Survivors and Disability Insurance] benefits, SSA must update its records to reflect changes in the beneficiary’s circumstances. SSA refers to these updates as post-entitlement actions. T2R is SSA’s primary post-entitlement processing system. In some instances, T2R cannot process post-entitlement actions to update beneficiaries’ records and PC employees must do so.  

When updates must be manually processed, T2R produces alerts. A PC employee must review the alert, correct any issues that prevented T2R from automatically processing the update, and make the necessary changes to the beneficiary’s record.

We identified 52,108 OASDI post-entitlement alerts T2R produced on or after January 1, 2017 and designated as processed and completed by PC employees from January 24 through February 6, 2019. We reviewed a random sample of 200 post-entitlement alerts to determine whether PC employees processed them correctly.

Of the 200 OASDI post-entitlement alerts we reviewed, PCemployees incorrectly processed 83 (42 percent). Of the 83 incorrectly processed alerts, 48 resulted in improper payments totaling $329,767 through May 2019. Based on our sample results, we estimate PC employees incorrectly processed approximately 555,000 alerts, resulting in approximately $1.3 billion in improper payments.  

 For 45 of the 83 alerts, PC employees took incorrect manual post-entitlement actions and did not update the beneficiaries’ records correctly. Our analysis showed that, in some instances, employees took incorrect manual actions because they did not—for unknown reasons—follow the provided instructions when they processed alerts. In other instances, employees may have incorrectly processed the alerts because of vague and generic alert language and corresponding written instructions. 

Employees processed the remaining 38 alerts incorrectly because they cleared the alerts without taking corrective actions. SSA does not require that employees document why they did not take corrective action on alerts. Thus, we were unable to determine why employees cleared the alerts without taking action.
...

      The term "improper payment" makes you think that people were being overpaid and some were but further down you see that most of the "improper" payments were underpayments to claimants. This sounds like a big problem.

How Do Telephone Hearings Work?

     This is from the press release that Social Security put out late yesterday afternoon:

... If you have a hearing scheduled, we will call you to discuss alternatives for continuing with your hearing, including offering a telephonic hearing. Our call may come from a PRIVATE number and not from a U.S. Government phone. Please remember that our employees will not threaten you or ask for any form of payment. ...

     How is this going to work? Will I and my client have to be at the same location? What about expert witnesses? What about cases that are already scheduled for video hearings? Will hearing reporters, the people who, among other things, operate the recording equipment, be allowed in the hearing offices? What is this "private number" business?

A Message From The Commissioner To SSA Employees

A Message to All SSA Employees

Subject: COVID-19 Update

I know that there is a high level of concern among our employees about the COVID-19 outbreak.  I greatly appreciate how hard you are all working to continue to provide our critical services, even as you tend to your personal wellbeing and that of your loved ones.  As you know, confirmed cases now exist in many communities and many schools have closed for an extended time.  We are all being asked to practice social distancing to help stop the spread of this coronavirus.  In addition to the measures we announced on Friday regarding high-risk employees and school closings, today we began implementing additional steps.

 

In non-public facing offices, most employees will perform their work with additional days of telework.  For field offices and hearing offices, to protect our employees and the public we serve, we will close to the public beginning Tuesday, March 17.  We are sharing field office general phone lines with the public so our employees can provide telephone service at the local level.  Hearing offices will offer voluntary hearings to claimants, by telephone.  Due to the nature of our work, some of us must continue to come into the office to handle critical workloads.  In these situations, supervisors will try to enable you to work from home as much as possible, but not every day.  We will also take measures to distance staff from each other while in the office.

Systems has worked to ensure that all employees have VPN access during this crisis and to ensure we are ready to support a large volume of teleworking employees.  However, this will be our first time to significantly depend on this structure for an extended period.  Please be patient and immediately report any issues to your supervisors so that we can not only assist you but also coordinate at the national level, as necessary.

Please continue to follow the CDC guidance about COVID-19 to prevent illness and recognize symptoms. If you are sick, stay home, or go home immediately if you are at work, and call your healthcare provider for medical advice.  If you test positive for COVID-19, please immediately let your supervisor know.

We know that this outbreak may be stressful to you.  It may be difficult to cope with the fear and anxiety about a disease, particularly when there is uncertainty.  We hope that the decision to expand telework and to close our offices to the public will ease some of the stress.  I encourage you to visit the CDC Coronavirus webpage, which includes information and resources to cope with this stress and ensure your mental health.  Our Employee Assistance Program (EAP) is also available. 

I ask for your patience as we continue to work through these very complicated issues that affect many different aspects of the agency.  We will continue to talk with experts and to evaluate our response, and we will continue to update our human resources site to provide you with current information.

Finally, we all chose to work in public service.  During this difficult time, the public will need our help.  I know I can count on you to do all you can to serve the public with integrity.  You have my deep appreciation.

Andrew Saul

Commissioner

Just How Much Can Telework Help SSA In An Emergency?

And Happy St. Patrick's Day!

     Since I don't work at Social Security, I have only the haziest idea how telework has operated at the agency. I wonder to what extent it's technically feasible for agency employees to telework. To what extent can the following categories of employees telework?

• Employees at teleservice centers
• Employees at payment centers
• Field office employees
• Hearing office employees apart from Administrative Law Judges and decision writers

     Are there groups of employees who might potentially be eligible to telework who won't quickly be able to telework because they never previously jumped through the technical security hoops needed to telework?

     Are there other impediments to widespread teleworking at Social Security?

Field Office Closure

     I’m hearing reports that all Social Security field offices will be closed to the public beginning on Tuesday. 

     Social Security needs to get out a press release.

     Update: And here’s the press release.

This Sounds Like Field Offices Should Close To The Public

     From an NBC News Blog (emphasis added):

President Donald Trump said Monday his administration's coronavirus task force updated its guidelines amid the coronavirus outbreak. 

He said the administration recommends all Americans, including young and healthy, should homeschool children, avoid gatherings of 10 or more people, stop discretionary travel and avoid bars and restaurants. ...

     There would be 10 or more people in the waiting room of most, if not all, Social Security field offices for most of the day. That would also be the case at some times of the day for many Social Security hearing offices.

Maybe It Is Time

     I had posted skepticism about shutting down Social Security hearings while the Supreme Court is still holding oral arguments. Well, the Supreme Court has just cancelled oral arguments for the time being.

     I still think that if it's time to stop holding hearings, it's time to close the offices. 

     And by the way, Ruth Bader Ginsburg, you're ordered to stay home and see no one for the foreseeable future.

New York City Status

     From the New York City Health Department: "New York, stay home. Healthy or sick, all New Yorkers need to stay home as much as possible."

     From Social Security: The field office in White Plains (which is a suburb of New York city) and the hearing office in Bedford Heights (which is in New York City) are closed.