Audit 45067

FY End
2022-12-31
Total Expended
$2.20M
Findings
16
Programs
5
Year: 2022 Accepted: 2023-05-09

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
47249 2022-001 Significant Deficiency Yes N
47250 2022-001 Significant Deficiency Yes N
47251 2022-001 Significant Deficiency Yes N
47252 2022-001 Significant Deficiency Yes N
47253 2022-001 Significant Deficiency Yes N
47254 2022-001 Significant Deficiency Yes N
47255 2022-001 Significant Deficiency Yes N
47256 2022-001 Significant Deficiency Yes N
623691 2022-001 Significant Deficiency Yes N
623692 2022-001 Significant Deficiency Yes N
623693 2022-001 Significant Deficiency Yes N
623694 2022-001 Significant Deficiency Yes N
623695 2022-001 Significant Deficiency Yes N
623696 2022-001 Significant Deficiency Yes N
623697 2022-001 Significant Deficiency Yes N
623698 2022-001 Significant Deficiency Yes N

Contacts

Name Title Type
YPCBNM3SJV79 Erica Martinez Auditee
5753873315 Patrycja Kempa Auditor
No contacts on file

Notes to SEFA

Accounting Policies: 1) The accompanying schedule of expenditures of federal awards (the "Schedule") includes the federal award activity of the MVCHS. Under programs of the federal government for the year ended December 31, 2022. The information in this Schedule is presented in accordance with the requirements of 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of MVCHS, it is not intended to and does not present the financial position, changes in net assets, or cash flows of MVCHS. 2) Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Any negative amounts shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior years. Pass-thru entity identifying numbers are presented where available. 3) MVCHS had no subrecipients as of December 31, 2022. 4) There were no federal awards expended in the form of non-cash assistance or loan guarantees outstanding at year-end. 5) MVCHS did not use 10% de minimis indirect cost rate.6) The organization is deemed an employee of the Federal Government for the purposes of malpractice liability protection under the Federal Tort Claims Act (FTCA) for the period this audit report covers. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate.

Finding Details

Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.
Statement of Condition During our testing of compliance of federal awards, we noted income for 2 out of 25 patients was incorrectly entered into the system and the slide was improperly applied. Criteria Per the Uniform Guidance compliance supplement, ?Review a sample of financial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center?s sliding fee discount schedule. (Note: Auditors are not required to test any documentation used to establish or verify income). Effect Without ensuring a thorough examination of the patient's income information inputted into the system, there is high risk that MVCHS is applying an incorrect sliding fee discount for health center services provided to individuals and families. Cause In 2022, MVCHS experienced significant turnover at the front office, where patient registration is completed. The disruption in operations and continuity of business was caused by a combination of staff turnover, as well as shutdowns due to wildfires, flooding, and a national pandemic. Recommendation To ensure compliance with federal regulations, the MVCHS should ensure that proper income documentation for the Sliding Fee Discount Program is collected regularly from patients and updated in accordance with the corresponding Policy. Training should be provided to staff members regarding the collection and recording of income information for the Sliding Fee Discount Program, and finance and billing staff should perform oversight.