Community Care

Department of Program Integrity (DPI)

Mission

To detect and prevent fraud, waste, and abuse of taxpayer dollars for all Veteran and family member health care programs within the Office of Community Care. The Department of Program Integrity leverages technology, business intelligence, collaboration, research, analysis, and investigation in an ever-changing health care environment within the Veterans Health Administration.

Vision

Ensure Office of Community Care Veteran and family member health care programs have the premier fraud, waste, and abuse detection and prevention program.

Functional Statements

• Serves as the oversight entity for all VHA OCC programs to combat fraud, waste, and abuse issues.
• Promotes payment integrity through the identification and monitoring of potential improper payments in a pre-payment state, thereby, reducing the improper payment rate.
• Oversees the partnership and interactions with key stakeholders regarding all program integrity matters.
• Develops and implements key measures to carry out program integrity’s mission and ensure program weaknesses are identified and resolved.

This web site will provide information on fraud news, frequently asked questions, and the necessary tools to help combat against fraud.

With your help, the identification and prevention of fraud, waste, and abuse benefits all VA programs, Veterans, beneficiaries and providers. Helping to stop fraudulent practices not only reduces operating costs but also results in more benefits and better quality of care for Veterans and beneficiaries.

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