Finding 1023422 (2022-001)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2022
Accepted
2023-02-27

AI Summary

  • Core Issue: Balance sheet accounts, including patient accounts receivable and inventory, were not reconciled to the general ledger.
  • Impacted Requirements: Monthly and annual reconciliations are necessary to identify financial misstatements; timely assessment of collectability for accounts receivable is also required.
  • Recommended Follow-Up: Management should continue monthly reconciliations and assessments of patient accounts receivable to ensure accurate financial reporting.

Finding Text

Condition: Several balance sheet accounts which included patient accountsreceivable, inventory, accounts payable and notes payable were notreconciled to the general ledger. Additionally, patient accountsreceivable was not assessed for collectability on a timely basis.Cause: Proper internal control policies require monthly and annualreconciliations of balance sheet accounts so that management coulddetect and correct any possible financial statement misstatements in atimely manner. The collectability of accounts receivable should also beassessed on a timely basis.Criteria: No cause.Effect: Management is unable to detect and correct misstatements in a timelymanner. Net patient accounts receivable could be overstated orunderstated.Recommendation: Management should review the aforementioned accounts and reconcileto the general ledger on a monthly and annual basis. Monthlyassessments of the collectability of patient accounts receivable shouldalso be performed on a monthly basis to ensure accurate financialstatements.Response: Management concurs with the finding. Management has incorporatedthe auditor?s recommendation to reconcile the various accounts to thegeneral ledger on a monthly and annual basis. Additionally, on amonthly basis, management is assessing the collectability of patientaccounts receivable and adjusting the allowance for doubtful accountsaccordingly.

Categories

Equipment & Real Property Management Internal Control / Segregation of Duties

Other Findings in this Audit

  • 446980 2022-001
    Significant Deficiency
  • 446981 2022-000
    Significant Deficiency
  • 446982 2022-001
    Significant Deficiency
  • 1023423 2022-000
    Significant Deficiency
  • 1023424 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.27M
93.498 Provider Relief Fund $902,392