Corrective Action Plans

Browse how organizations respond to audit findings

Total CAPs
51,702
In database
Filtered Results
5,181
Matching current filters
Showing Page
148 of 208
25 per page

Filters

Clear
Active filters: Cash Management
Management agrees with the finding. The necessary written documentation to comply with the Uniform Guidance will be prepared by December 31, 2024.
Management agrees with the finding. The necessary written documentation to comply with the Uniform Guidance will be prepared by December 31, 2024.
Finding 2022-002: The Corporation made a payment to LAHD in the amount of $16,742. The payment does not meet HUD's criteria of eligible Property expenses and the Corporation did not obtain HUD approval. Comments on the Finding and Each Recommendation: The Corporation should request HUD approval for ...
Finding 2022-002: The Corporation made a payment to LAHD in the amount of $16,742. The payment does not meet HUD's criteria of eligible Property expenses and the Corporation did not obtain HUD approval. Comments on the Finding and Each Recommendation: The Corporation should request HUD approval for reimbursement from the residual receipts fund and deposit into the Property's operating account. Action(s) taken or planned on the finding: Management has requested approval from HUD. As of the report date, no response has been received.
View Audit 294494 Questioned Costs: $1
Finding 2022-001: The Corporation's required deposit of $33,484 to the residual receipts account per the December 31, 2021 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited within 90 days of the fiscal year end. Comments on the Finding and Each Recommendation: Manage...
Finding 2022-001: The Corporation's required deposit of $33,484 to the residual receipts account per the December 31, 2021 Computation of Surplus Cash, Distributions and Residual Receipts was not deposited within 90 days of the fiscal year end. Comments on the Finding and Each Recommendation: Management should make all required residual receipt deposits per the annual Computation of Surplus Cash, Distributions and Residual Receipts within 90 days after fiscal year end. Action(s) taken or planned on the finding: Management deposited $33,484 into the residual receipts fund on June 13, 2022. No further action is required.
View Audit 294494 Questioned Costs: $1
There were multiple lockdowns executive orders that impacted business no school or day care were open. ASDEF case managers were called to work on a gradual basis on February 2021. Only essential workers were active. At the time of the pandemic, the cases were evaluated in the regional offices bas...
There were multiple lockdowns executive orders that impacted business no school or day care were open. ASDEF case managers were called to work on a gradual basis on February 2021. Only essential workers were active. At the time of the pandemic, the cases were evaluated in the regional offices based on the minimum criteria, then they were sent to the Central Level offices to the Medical Board for evaluation. Given to this situation Single Audits started late since it depends on the personnel to be present at the local and regional offices. However, no process was delinquent or affected.
To rectify the inaccurate marking of patients as eligible for the HRSA program by hospital staff and ensure compliance with related regulations in the submission of claim reimbursements. Although the issue arose unexpectedly due to the unique circumstances of the COVID-19 pandemic, MEMN is committe...
To rectify the inaccurate marking of patients as eligible for the HRSA program by hospital staff and ensure compliance with related regulations in the submission of claim reimbursements. Although the issue arose unexpectedly due to the unique circumstances of the COVID-19 pandemic, MEMN is committed to addressing it promptly and collaboratively. By implementing these corrective actions and fostering open communication and cooperation, MEMN can rectify the inaccuracies in patient eligibility for the HRSA program and ensure compliance with related regulations in the submission of claim reimbursements. Additionally, the organization will incorporate lessons learned from this experience to build resilience and adaptability for future challenges. Actions: 1. Transparent Communication: • Clearly communicate to all stakeholders, including hospital staff, third-party billing vendors, and management, that the issue arose due to unforeseeable circumstances related to the COVID-19 pandemic and was not a result of management negligence. • Emphasize the collaborative effort needed to address the issue and prevent its recurrence. 2. Enhanced Documentation and Verification Processes: • Encourage hospital staff to Implement enhanced documentation procedures to capture accurate patient information, including insurance data, with a specific focus on eligibility for the HRSA program and establish robust verification processes to ensure the accuracy of patient eligibility status before marking them as such in the medical records system. 3. Monitoring: • Work with the third-party biller to monitor the submission of claim reimbursements to the HRSA program closely to verify compliance with regulations and accuracy of information. 4. Collaborative Problem-Solving: • Foster an environment of collaboration between MEMN, hospital staff, and third-party billing vendors to address the issue collectively. • Encourage open communication and the sharing of insights to identify systemic issues and implement effective solutions. 5. Adaptation and Resilience Building: • Recognize the lessons learned from the unforeseen challenges posed by the COVID-19 pandemic and incorporate them into future risk assessment and contingency planning efforts. • Build resilience within the organization to respond effectively to unexpected events and mitigate their impact on operations and compliance. Timeline: • Transparent Communication: Immediately upon implementation of the corrective action plan, February 2024 • Enhanced Documentation and Verification Processes: Implement within three months, May 2024 • Monitoring: Begin immediately and continue on an ongoing basis, February 2024 • Collaborative Problem-Solving: Establish protocols within one month and continue on an ongoing basis, March 2024 • Adaptation and Resilience Building: Ongoing, with periodic assessments and adjustments, June 2024 Monitoring and Evaluation: • Regular progress meetings to track the implementation of corrective actions. • Monitor the accuracy of patient data entry and claim submissions through internal audits and quality assurance reviews. • Conduct periodic reviews to assess the effectiveness of training and education efforts and make necessary adjustments. Contact: • Alain Viaud, aviaud@som.umaryland.edu, 667-214-2051
Finding 2022-006 Beginning June 1, 2022, grants accounting staff were trained to utilize a draw report that calculated cleared (paid) expense to ensure expenses were invoiced in accordance with federal and program regulations. During fiscal year 2022, a new director and staff were hired in the grant...
Finding 2022-006 Beginning June 1, 2022, grants accounting staff were trained to utilize a draw report that calculated cleared (paid) expense to ensure expenses were invoiced in accordance with federal and program regulations. During fiscal year 2022, a new director and staff were hired in the grants accounting office. In addition, with completing the implementation of the financial system, we believe adequate controls have been established and are working properly to ensure compliance with cash management regulations. Responsible Official: Associate Vice Chancellor for Finance & Treasurer Implementation Date: February 2023
View Audit 293814 Questioned Costs: $1
Finding 2022-001 Beginning June 1, 2022, grants accounting staff were trained to utilize a draw report that calculated cleared (paid) expense to ensure expenses were invoiced in accordance with federal and program regulations. During fiscal year 2022, a new director and staff were hired in the grant...
Finding 2022-001 Beginning June 1, 2022, grants accounting staff were trained to utilize a draw report that calculated cleared (paid) expense to ensure expenses were invoiced in accordance with federal and program regulations. During fiscal year 2022, a new director and staff were hired in the grants accounting office. In addition, with completing the implementation of the financial system, we believe adequate controls have been established and are working properly to ensure compliance with cash management regulations. Responsible Official: Associate Vice Chancellor for Finance & Treasurer Implementation Date: February 2023
View Audit 293814 Questioned Costs: $1
2022-004 - Year Ended December 31, 2022 Department of Health and Human Services CFDA #93.829 Section 223 Demonstration Programs to Improve Community Health Services (CCBHC) Activities Allowed or Unallowed, Allowable Costs/Cost Principles and Reporting Material Weakness in Internal Control over Compl...
2022-004 - Year Ended December 31, 2022 Department of Health and Human Services CFDA #93.829 Section 223 Demonstration Programs to Improve Community Health Services (CCBHC) Activities Allowed or Unallowed, Allowable Costs/Cost Principles and Reporting Material Weakness in Internal Control over Compliance Finding Summa,y: - Rimrock Foundation's final expenditures identified as eligible and claimed under the federal program were reviewed and approved by separate individuals outside of the preparer. However, the reports submitted for reimbursement had no evidence of review and approval by a separate individual outside of the preparer. Rimrock Foundation's statistical reports submitted under the federal program also had no evidence of review and approval by a separate individual outside of the preparer. Responsible Individuals: Jeffrey Keller, CEO and Shirley Ehlang, Lead Financial Accountant Corrective Action Plan: Rimrock will have the statistical reports prepared by the Grant Financial Specialist and reviewed by the Lead Financial Account. The payment will be requested by the Lead Financial Accountant and the CFO or CEO will review the entire packet of documentation. Completion Date: December 2022
Finding Number: 2022-008 Finding Title: LCTS Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Ann Ozan – Fiscal Supervisor II. Corrective Action Planned: Document the review of the public health, corrections, and school district quarterly...
Finding Number: 2022-008 Finding Title: LCTS Reporting Program: 93.778 Medical Assistance Program Name of Contact Person Responsible for Corrective Action: Ann Ozan – Fiscal Supervisor II. Corrective Action Planned: Document the review of the public health, corrections, and school district quarterly reports. Review is being done when the state report is prepared, but not currently documented. Anticipated Completion Date: December 31, 2023.
2022-008 Preparation of the Schedule of Expenditures of Federal Awards (Material Weakness) Agency’s Response: The City is currently in the process of hiring additional finance staff to address the grant(s) requests for reimbursements and collecting the necessary information for the preparation of th...
2022-008 Preparation of the Schedule of Expenditures of Federal Awards (Material Weakness) Agency’s Response: The City is currently in the process of hiring additional finance staff to address the grant(s) requests for reimbursements and collecting the necessary information for the preparation of the Schedule of Expenditures of Federal Awards. The responsible party for this finding is the finance director.
2022-007 Internal Controls over Compliance (Material Weakness) Agency’s Response: The Finance Department will immediately implement processes and procedures for grant requirements to ensure:  Staff follow processes and procedures  Implement controls for expending the funds  Retain proper document...
2022-007 Internal Controls over Compliance (Material Weakness) Agency’s Response: The Finance Department will immediately implement processes and procedures for grant requirements to ensure:  Staff follow processes and procedures  Implement controls for expending the funds  Retain proper documentation for processing reimbursements  Maintain those documents for future audit The responsible party for this finding is the finance director.
View Audit 293380 Questioned Costs: $1
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Tukwila School District No. 406 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Re...
CORRECTIVE ACTION PLAN FOR FINDINGS REPORTED UNDER UNIFORM GUIDANCE Tukwila School District No. 406 September 1, 2021 through August 31, 2022 This schedule presents the corrective action planned by the District for findings reported in this report in accordance with Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Finding ref number: 2022-001 Finding caption: The District overcharged indirect costs to the Education Stabilization Fund program. Name, address, and telephone of District contact person: Veronica Birdsong 4640 S. 144th Street Tukwila, WA 98168 206-901-8010 Corrective action the auditee plans to take in response to the finding: On an annual basis make sure to review the current federal indirectrates via OPSI website within that current school year as indirect rates change from fiscal year to fiscal year and may not be reflected on grants that carryover from year to year. I did the calculations for the 2022-202 school year to account for the overage charged in indirect and made sure that amount was use for direct expenditures. This was the best option as the grant was still being expended and the correction could be made without needing to repay the indirect amount over claimed back to OSPI. Anticipated date to complete the corrective action: currently completed for the 2022-2023 school year.
View Audit 293224 Questioned Costs: $1
The audited period was a time of rapid growth and transition for the Mayor’s Healthy City Initiative. The staff was very small and the Executive Director role was vacant for an extended period of time. The Executive Director role has been filled and the role of our external accountants has been ex...
The audited period was a time of rapid growth and transition for the Mayor’s Healthy City Initiative. The staff was very small and the Executive Director role was vacant for an extended period of time. The Executive Director role has been filled and the role of our external accountants has been expanded to offer additional assistance. Management is working to ensure that the individuals working on administering federal programs are properly trained on the requirements of the Uniform Guidance.
View Audit 293173 Questioned Costs: $1
While the team working with the Mayor’s Healthy City Initiative believes the amounts paid to all vendors for services rendered were reasonable based on comparison market data we understand the need to obtain and maintain the required number of written quotations and will work to establish and mainta...
While the team working with the Mayor’s Healthy City Initiative believes the amounts paid to all vendors for services rendered were reasonable based on comparison market data we understand the need to obtain and maintain the required number of written quotations and will work to establish and maintain effective internal controls to ensure compliance with federal award regulations, statutes and terms and conditions of each grant.
View Audit 293173 Questioned Costs: $1
As stated in the condition above the reports were all filed but not in accordance with the required timeframes. Management will work to ensure that reports are filed as required by the grant even when no activity for the related period occurs.
As stated in the condition above the reports were all filed but not in accordance with the required timeframes. Management will work to ensure that reports are filed as required by the grant even when no activity for the related period occurs.
The Mayor’s Healthy City Initiative grew rapidly as the need for services provided by the organization were in high demand. The group worked to meet the needs of the community and simultaneously create an infrastructure to support the growing demand. While all disbursements made related to appropr...
The Mayor’s Healthy City Initiative grew rapidly as the need for services provided by the organization were in high demand. The group worked to meet the needs of the community and simultaneously create an infrastructure to support the growing demand. While all disbursements made related to appropriate initiatives and programs, instances did occur in which the vendor was unable to provide the specific documentation required by the grant in the required timeframe. The Mayor’s Healthy City Initiative team coordinated with the City of Baton Rouge’s Office of Community Development to ensure that disbursements were appropriate and in some instances, relied on their approval for payment. As with many organizations of this type the staff was very small. In addition, during the audited program year the Executive Director role was vacant for an extended period of time which presented additional challenges. The Executive Director role has been filled and the role of our external accountants has been expanded to offer additional assistance. We are continuing to work to establish and maintain effective internal controls to ensure compliance with federal award regulations, statutes and terms and conditions of each grant.
View Audit 293173 Questioned Costs: $1
Finding 371166 (2022-001)
Significant Deficiency 2022
Management agrees with the finding and is in process of developing and implementing the appropriate policies and procedures.
Management agrees with the finding and is in process of developing and implementing the appropriate policies and procedures.
Finding 2022-007: Costs Incurred & Paid Prior to Reimbursements (Significant Deficiency over Internal Control and Instance of Noncompliance – Cash Management; Period of Performance) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policie...
Finding 2022-007: Costs Incurred & Paid Prior to Reimbursements (Significant Deficiency over Internal Control and Instance of Noncompliance – Cash Management; Period of Performance) Response and Corrective Action Plan: Management agrees with finding. The Health System will review and modify policies and procedures over the program to ensure management implements policies, procedures, and processes to make sure that funds are disbursed for incurred expenditures prior to reimbursement requests. Anticipated Completion Date: by March 31, 2024 Responsible Person: : Ann Metzger, Vice President Finance
Finding 370868 (2022-002)
Significant Deficiency 2022
Corrective Action Plan: The Fogarty Center (the “Center”) originally reported on data that didn’t include accruals and sometimes included estimates. The reports were amended and forwarded to proper authorities after year end. The Center worked with the State of Rhode Island contact to explain the v...
Corrective Action Plan: The Fogarty Center (the “Center”) originally reported on data that didn’t include accruals and sometimes included estimates. The reports were amended and forwarded to proper authorities after year end. The Center worked with the State of Rhode Island contact to explain the variances and why the Center needed to file amended reports. Corrective Action Plan: The Fogarty Center (the “Center”) submitted several quarterly reports after the required due date. There were various reasons why this occurred. • There was some initial miscommunication from the State of Rhode Island as to which report was due when • The State of Rhode Island was creating an electronic portal that caused delays for agencies to report • The grants were new to the Center and it took much more time to gather the data then originally discussed with the State of Rhode Island • The Center incurred some technical difficulties in gathering data for the reports and needed assistance from a software vendor The Center was in contact with the State of Rhode Island representative regarding these items throughout the year; however, some of the email conversations occurred after the deadlines had passed. At the end of the contract, the State of Rhode Island did send an email stating that they understood the reasons for the delays and that the reports were accepted as submitted and are in compliance.
2022-02 Surplus Cash Not Deposited by Due Date Recommendation: We recommend that Levi Towers, Inc. develop specific procedures to ensure that the surplus cash is calculated and deposited by the December 31 deadline. Action Taken: Levi Towers, Inc. will develop procedures to ensure that the surp...
2022-02 Surplus Cash Not Deposited by Due Date Recommendation: We recommend that Levi Towers, Inc. develop specific procedures to ensure that the surplus cash is calculated and deposited by the December 31 deadline. Action Taken: Levi Towers, Inc. will develop procedures to ensure that the surplus cash is calculated and deposited into the residual receipts on or before the December 31 deadline. Name of responsible person responsible for corrective action: David Wilson Anticipated completion date for the corrective action: February 9, 2024
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current...
Action taken in response to finding: Management has refined our processes and controls over indirect costs to more closely monitor whether indirect costs being allocated to a grant are based on its current federally negotiated indirect cost rate. We have identified the expiration date of the current indirect cost rate during the grant budget preparation process and have submitted a new indirect cost rate proposal. Name(s) of the contact person(s) responsible for corrective action: Karen Wesley, Director of Internal Control and Fiscal Management. Planned completion date for corrective action plan: Completed.
Federal Award Compliance Recommendation: Management should ensure that all personnel responsible for monitoring grant compliance receive the proper training on the requirements for federal funds. BestCare should develop policies and procedures to ensure compliance with both grant and federal requir...
Federal Award Compliance Recommendation: Management should ensure that all personnel responsible for monitoring grant compliance receive the proper training on the requirements for federal funds. BestCare should develop policies and procedures to ensure compliance with both grant and federal requirements. Action Taken: BestCare hired a CFO June 27, 2023. She has significant experience with federal awards and is implementing policies and procedures to ensure compliance. BestCare is also in the final stages of hiring a Controller which will bolster procedures to comply with federal awards. Finally, another staff accountant was hired November 13, 2023 to round out an understaffed accounting team which will allow the Controll and Sr. Accountant to focus more on processes, internal controls and compliance.
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the transmittal procedure to include reversing a federal aid posting in the event that it cannot be reconciled within ten days of its initial creation...
Contact Person: Traci Veyl, Director of Financial Aid Corrective Action: The College agrees with this finding. The Financial Aid Office has updated the transmittal procedure to include reversing a federal aid posting in the event that it cannot be reconciled within ten days of its initial creation. The aid will be reposted once the issue is resolved and reported to COD on the day of positing. The current financial aid procedures have been updated. Anticipated Completion Date: June 1, 2023
Program Affected Medical Assistance Program Assistance Listing No. 93. 778 Criteria: For staff and contractors that provide direct medical services, Districts are required to report amounts paid for salaries, benefits, and contracted services through quarterly financial submissions. Condition: Th...
Program Affected Medical Assistance Program Assistance Listing No. 93. 778 Criteria: For staff and contractors that provide direct medical services, Districts are required to report amounts paid for salaries, benefits, and contracted services through quarterly financial submissions. Condition: The District did not report any salaries, benefits, or contracted services for the second quarter of 202 I. Cause: District staff did not properly report the expense information through the quarterly financial submission. Effect: Improperly reported expenses would affect the reimbursements received by the District under the SBS Medicaid program. Questioned Cost: None. Repeat Finding: No. Auditor's Recommendation: We recommend the District review its procedures for compiling and submitting the quarterly financial submissions to ensure that all salaries, benefits, and contracted costs are properly reported in the SBS Medicaid system. Grantee Response: This was related to the Staff Pool List not being submitted for the 4th quarter of FY21 (April-June 2021) on a timely basis. When the District contacted the SBS Medicaid claiming system, they said it was too late to enter the List. As a result, the District will review its procedures for submitting the Staff Pool Lists on time, and SBS training sessions will be utilized as needed. For this, the District will work in conjunction with our special education staff, who submit the Staff Pool List, to ensure the list is entered a week before the due date into the system. Once that is completed, in turn, all salaries, benefits and contracted costs will be able to be properly reported in the SBS Medicaid system and will be done so on a timely basis. Contact Person: District Administrator Terry Slack Anticipated Completion: June 30, 2023
Program Affected-Medical Assistance Program -Assistance Listing No. 93. 778 Criteria: Districts are required to report an IEP ratio and a one-way trip ratio on the Medicaid Annual Cost Report. The IEP ratio is the ratio of students with billed SBS Medicaid services to total students with a related...
Program Affected-Medical Assistance Program -Assistance Listing No. 93. 778 Criteria: Districts are required to report an IEP ratio and a one-way trip ratio on the Medicaid Annual Cost Report. The IEP ratio is the ratio of students with billed SBS Medicaid services to total students with a related medical service. The one-way trip ratio is the ratio of one-way trips for Medicaid-eligible students with specialized transportation needs in their IEP to total one-way trips by all students with specialized transportation needs in their IEP. Condition: The District did not maintain adequate documentation to support the ratios reported on the Medicaid Annual Cost Report. Cause: The values entered into the Medicaid Annual Cost report by District staff did not match the values calculated on the supporting documentation maintained by the District for each ratio. Effect: Improperly calculated ratios could affect reimbursements received from the SBS Medicaid program. Questioned Cost: Unknown Repeat Finding: Yes. Auditor's Recommendation: We recommend the District review its procedures for compiling the information used to calculate the IEP ratio and one-way trip ratio for the annual cost report. Training should be provided so staff can identify all students that should be included in the calcnlation and procedures should be implemented to review and verify that the calculation is con-eel. Grantee Response: The District will review its procedures for compiling the information used to calculate the ratios for the annual cost report, and training will be provided so staff can be sure to identify all students that should be included in the calculation are included. This will include the district's Director of Pupil Services review of this information on a monthly basis with the Business Manager to ensure procedures will be implemented to review and verify that the calculation is correct, which includes working with our SBS Medicaid provider, MJ Care, in conjunction with our special education director on these numbers. Contact Person: District Administrator Terry Slack Anticipated Completion: December 31, 2023
« 1 146 147 149 150 208 »