Audit 23081

FY End
2022-06-30
Total Expended
$12.08M
Findings
4
Programs
14
Year: 2022 Accepted: 2022-11-01

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
22972 2022-002 Significant Deficiency - P
22973 2022-002 Significant Deficiency - P
599414 2022-002 Significant Deficiency - P
599415 2022-002 Significant Deficiency - P

Contacts

Name Title Type
HF9UJ2296JG3 Dain Brandenburg Auditee
9043874661 Robert Loverich Auditor
No contacts on file

Notes to SEFA

Title: PROVIDER RELIEF FUND AND AMERICAN RESCUE PLAN (ARP) RURAL DISTRIBUTION Accounting Policies: The schedule of expenditures of financial awards is prepared on the accrual basis of accounting. The information in this schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, Audit, and Administrative Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of Gateway Community Services, Inc., it is not intended to and does not present the financial position, changes in net assets, or cash flows of Gateway Community Services, Inc. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate. The amount presented on the Schedule for Assistance Listing Number 93.498, COVID-19 - Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (PRF Funds) for the year ended June 30, 2022 includes $244,077 of PRF Funds received from the U.S. Department of Heath and Human Services (HHS) between January 1, 2021 to June 30, 2021. In accordance with guidance from HHS, these amounts are presented as Period 3 in the HHS PRF Reporting Portal.

Finding Details

Condition: Services provided to enrolled clients were not properly charged to the correct program in the Organization's electronic health record system and were frequently adjusted after contract invoicing was completed. Criteria: Internal controls should be in place that provide reasonable assurance that services provided to clients are charged to the correct program. Cause: The Organization implemented a new electronic health records system at the beginning of the fiscal year that caused issues in assigning client services to the correct program. Effect: Monthly invoices had significant errors in the units of services reported to the Managing Entity resulting in incorrect reimbursements to the Organization. Management has stated that the units of service in question have subsequently been reconciled with the Managing Entity. Recommendation: Procedures should be implemented to ensure client services are charged to the correct program at time of service. Views of Responsible Officials and Planned Corrective Actions: Management agrees with this finding and recommended procedures have been implemented.
Condition: Services provided to enrolled clients were not properly charged to the correct program in the Organization's electronic health record system and were frequently adjusted after contract invoicing was completed. Criteria: Internal controls should be in place that provide reasonable assurance that services provided to clients are charged to the correct program. Cause: The Organization implemented a new electronic health records system at the beginning of the fiscal year that caused issues in assigning client services to the correct program. Effect: Monthly invoices had significant errors in the units of services reported to the Managing Entity resulting in incorrect reimbursements to the Organization. Management has stated that the units of service in question have subsequently been reconciled with the Managing Entity. Recommendation: Procedures should be implemented to ensure client services are charged to the correct program at time of service. Views of Responsible Officials and Planned Corrective Actions: Management agrees with this finding and recommended procedures have been implemented.
Condition: Services provided to enrolled clients were not properly charged to the correct program in the Organization's electronic health record system and were frequently adjusted after contract invoicing was completed. Criteria: Internal controls should be in place that provide reasonable assurance that services provided to clients are charged to the correct program. Cause: The Organization implemented a new electronic health records system at the beginning of the fiscal year that caused issues in assigning client services to the correct program. Effect: Monthly invoices had significant errors in the units of services reported to the Managing Entity resulting in incorrect reimbursements to the Organization. Management has stated that the units of service in question have subsequently been reconciled with the Managing Entity. Recommendation: Procedures should be implemented to ensure client services are charged to the correct program at time of service. Views of Responsible Officials and Planned Corrective Actions: Management agrees with this finding and recommended procedures have been implemented.
Condition: Services provided to enrolled clients were not properly charged to the correct program in the Organization's electronic health record system and were frequently adjusted after contract invoicing was completed. Criteria: Internal controls should be in place that provide reasonable assurance that services provided to clients are charged to the correct program. Cause: The Organization implemented a new electronic health records system at the beginning of the fiscal year that caused issues in assigning client services to the correct program. Effect: Monthly invoices had significant errors in the units of services reported to the Managing Entity resulting in incorrect reimbursements to the Organization. Management has stated that the units of service in question have subsequently been reconciled with the Managing Entity. Recommendation: Procedures should be implemented to ensure client services are charged to the correct program at time of service. Views of Responsible Officials and Planned Corrective Actions: Management agrees with this finding and recommended procedures have been implemented.