Corrective Action Plans

Browse how organizations respond to audit findings

Total CAPs
48,662
In database
Filtered Results
46,122
Matching current filters
Showing Page
83 of 1845
25 per page

Filters

Clear
Finding 1157927 (2024-001)
Material Weakness 2024
Federal Award Findings and Questioned Costs – Year ending December 31, 2024 Finding 2024-001 – Internal control deficiency and noncompliance over activities allowed or unallowed, allowable costs/cost principles, reporting, and special tests and provisions related to amounts reimbursed for the projec...
Federal Award Findings and Questioned Costs – Year ending December 31, 2024 Finding 2024-001 – Internal control deficiency and noncompliance over activities allowed or unallowed, allowable costs/cost principles, reporting, and special tests and provisions related to amounts reimbursed for the project worksheets. Identification of the federal program: Assistance Listing Number 97.036: • COVID-19 – Disaster Grants – Public Assistance (Presidentially Declared Disasters) • U.S. Department of Homeland Security • Federal award identification number: o Project number 699651 – CV-727 2020 Q2 PPE and Screening Thermometers • Federal award year – January 20, 2020 to May 11, 2023 • Pass-through entity – Arizona Department of Emergency and Military Affairs (Arizona DEMA) Condition: During the testing over the expenditures included in the project worksheets, management did not have effective internal controls in place to ensure expenditures reported for reimbursement in the FEMA project worksheets were actual paid expenditures. This resulted in an overstatement of the amount reimbursed by FEMA. Management performed an analysis of all expenditures submitted to FEMA and determined there were 4 expenditures reported for reimbursement in the FEMA project worksheets that were not based on actual paid expenditures resulting in an overstatement of the amount reimbursed by FEMA in the amount of $1,406,446. Cause: Management did not have effective internal controls in place over the compliance requirements as stated in the criteria or specific requirement section of the report. Effect or potential effect: Management was reimbursed by FEMA for expenditures that were not based on actual paid expenditures which resulted in an overstatement of the amount reimbursed by FEMA. Without sufficient internal controls, other compliance matters could occur in the future. Questioned costs: $1,406,446 – Assistance Listing Number 97.036 – Federal award identification number – Project number 699651 – CV-727 2020 Q2 PPE and Screening Thermometers Questioned costs were computed by calculating the difference between the expenditures submitted for reimbursement in the FEMA project worksheets and the actual paid expenditures. Context: During the testing over the expenditures included in the project worksheets, the auditors obtained a listing of expenditures submitted for reimbursement to FEMA and selected a sample of 67 for testing the compliance requirements. There was 1 out of 67 selections where the expenditure reported for reimbursement was not based on actual paid expenditure. The sampling was a statistically valid sample. Management performed an analysis of all expenditures submitted to FEMA and determined there were 4 expenditures reported for reimbursement in the FEMA project worksheets that were not based on actual paid expenditures resulting in an overstatement of the amount reimbursed by FEMA in the amount of $1,406,446. Management’s control regarding the review of the project worksheet expenditures did not identify this matter when submitting the project worksheet for reimbursement to FEMA. Identification as a repeat finding, if applicable: No. Recommendation: Management should develop and implement effective internal controls to ensure expenditures reported for reimbursement in the FEMA project worksheets are actual paid expenditures. Management should refund the questioned costs to FEMA and work with FEMA to determine the extent of additional courses of action. Views of responsible officials: Management concurs with the audit finding and has implemented a corrective action plan to address the identified issue. Management has notified Arizona DEMA of the identified expenditures and has begun the process of reimbursing the $1,406,446 to FEMA. For all future FEMA project applications, Management will conduct a comprehensive reconciliation process prior to submission. This process will include a detailed review of invoice documentation and verification of payment to ensure compliance with applicable federal requirements. Responsible Parties: Heather Mahoney, Network Controller Anticipated Date of Completion: September 30, 2025
View Audit 369958 Questioned Costs: $1
In order to provide access to high-quality healthcare regardless of one’s ability to pay, all of HealthCore Clinic’s services under its approved scope are offered on a sliding fee schedule. Patients eligible for HCC’s sliding fee scale have their charges discounted based on their slide level as dete...
In order to provide access to high-quality healthcare regardless of one’s ability to pay, all of HealthCore Clinic’s services under its approved scope are offered on a sliding fee schedule. Patients eligible for HCC’s sliding fee scale have their charges discounted based on their slide level as determined by the sliding fee scale assessment. This audit revealed three errors with HCC’s application of the sliding fee scale resulting in incorrect charges or sliding fee writeoffs. During 2024, HCC engaged Forvis Mazars to conduct a revenue cycle assessment and eClinicalWorks for revenue cycle optimization. The revenue cycle review highlighted areas for improvement and the revenue cycle optimization combed through HCC’s settings and workflows to ensure HCC’s EMR was configured and being used correctly. The revenue cycle optimization project helped HCC further automate its sliding fee scale so the correct amounts are automatically adjusted off of eligible claims. HealthCore Clinic will train all relevant staff on its sliding fee scale and how to correctly address and document additional adjustments and reversals. Additional internal audits will be completed to assess adherence to the sliding fee scale and other financial procedures. Contact Person Responsible, Cedric Toney, Chief Financial Officer Anticipated Completion Date: Implementation of Forvis Revenue Cycle Management will be implemented beginning Q4 of 2025. Additional retraining will be completed 12/31/2025; Additional audits will begin 09/30/24 and will be ongoing.
The YWCA has developed written procurement policy to comply with the federal requirements and revised existing procedures to maintain evidence that contractors and vendors are not suspended, debarred, or otherwise excluded from participating in federal programs.
The YWCA has developed written procurement policy to comply with the federal requirements and revised existing procedures to maintain evidence that contractors and vendors are not suspended, debarred, or otherwise excluded from participating in federal programs.
Management’s Views and Corrective Action Plan
Management’s Views and Corrective Action Plan
2024‐001: Student Financial Assistance, JFK Muhlenberg School of Nursing and Medical Imaging (“JFKSON”) Oversight & Monitoring
2024‐001: Student Financial Assistance, JFK Muhlenberg School of Nursing and Medical Imaging (“JFKSON”) Oversight & Monitoring
2024-12-31 00:00:00
2024-12-31 00:00:00
Disbursements to or on behalf of others
Disbursements to or on behalf of others
(1a) Management's view: We acknowledge the auditor’s finding regarding the lack of documented student consent for conducting financial aid transactions and providing required disclosures electronically. While students were receiving required notifications via their secure school email accounts and h...
(1a) Management's view: We acknowledge the auditor’s finding regarding the lack of documented student consent for conducting financial aid transactions and providing required disclosures electronically. While students were receiving required notifications via their secure school email accounts and had uninterrupted access to their financial aid information through the student portal, we recognize that federal guidance requires documented, voluntary consent to participate in electronic transactions.
Corrective action: As of Fall 2025, the Financial Aid Office, in collaboration with IT, has implemented an Electronic Consent Agreement that students must review and accept upon their initial login to the student portal through an automated push notification.
Corrective action: As of Fall 2025, the Financial Aid Office, in collaboration with IT, has implemented an Electronic Consent Agreement that students must review and accept upon their initial login to the student portal through an automated push notification.
This agreement clearly explains students’ rights, the voluntary nature of consent, the option to withdraw consent, and the ability to request paper copies at no cost.
This agreement clearly explains students’ rights, the voluntary nature of consent, the option to withdraw consent, and the ability to request paper copies at no cost.
Student responses are now electronically logged with a date and time stamp, providing auditable records of consent.
Student responses are now electronically logged with a date and time stamp, providing auditable records of consent.
For currently enrolled students, we will initiate a one-time consent collection process by sending the agreement via the student portal and school email, requiring acknowledgement before accessing financial aid–related information.
For currently enrolled students, we will initiate a one-time consent collection process by sending the agreement via the student portal and school email, requiring acknowledgement before accessing financial aid–related information.
The Financial Aid Office will monitor compliance on a term-by-term basis to ensure all active students have provided documented consent.
The Financial Aid Office will monitor compliance on a term-by-term basis to ensure all active students have provided documented consent.
Responsible office: Financial Aid Office
Responsible office: Financial Aid Office
Responsible official: Director of Financial Aid
Responsible official: Director of Financial Aid
Effective date: Fall 2025
Effective date: Fall 2025
(1b) Management's view: We acknowledge the auditor’s finding that, for 4 students in the sample, Title IV credit balances were not released within the federally required 14-day timeframe. While the delays were isolated and not reflective of our standard disbursement process, we recognize that any de...
(1b) Management's view: We acknowledge the auditor’s finding that, for 4 students in the sample, Title IV credit balances were not released within the federally required 14-day timeframe. While the delays were isolated and not reflective of our standard disbursement process, we recognize that any delay is a compliance issue. The impacted students ultimately received their refunds, and no student was financially harmed.
Corrective action:
Corrective action:
Effective Fall 2025, the Financial Aid and Student Accounts Offices have jointly implemented a tracking and escalation process to ensure all Title IV credit balances are identified and refunded within the required 14 days.
Effective Fall 2025, the Financial Aid and Student Accounts Offices have jointly implemented a tracking and escalation process to ensure all Title IV credit balances are identified and refunded within the required 14 days.
A weekly reconciliation report is now generated by Student Accounts and reviewed by the Financial Aid Office to confirm that no credit balances remain unresolved beyond the allowable period.
A weekly reconciliation report is now generated by Student Accounts and reviewed by the Financial Aid Office to confirm that no credit balances remain unresolved beyond the allowable period.
Staff involved in the refund process have received additional training on Title IV requirements, with specific emphasis on the 14-day refund timeline.
Staff involved in the refund process have received additional training on Title IV requirements, with specific emphasis on the 14-day refund timeline.
The Financial Aid Director (or designee) will conduct quarterly spot checks of student account activity to verify compliance.
The Financial Aid Director (or designee) will conduct quarterly spot checks of student account activity to verify compliance.
Responsible offices: Student Accounts and Financial Aid
Responsible offices: Student Accounts and Financial Aid
Responsible officials: Student Billing Coordinator and Director of Financial Aid
Responsible officials: Student Billing Coordinator and Director of Financial Aid
(1c) Management’s view: We acknowledge the auditor’s finding that documentation of anticipated loan amount and disbursement date notifications was not available for the students selected. During the review period, students were notified of their loan eligibility through award letters and had continu...
(1c) Management’s view: We acknowledge the auditor’s finding that documentation of anticipated loan amount and disbursement date notifications was not available for the students selected. During the review period, students were notified of their loan eligibility through award letters and had continuous access to their loan amounts, scheduled disbursements, and account activity through the secure student portal. However, a separate notification specific to anticipated loan amounts and disbursement dates was not consistently generated and retained as documentation. It is important to note that:
« 1 81 82 84 85 1845 »