Finding 1055598 (2023-001)

-
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-07-23
Audit: 315652
Organization: Ahs Hospital Corp. (NJ)

AI Summary

  • Core Issue: The Hospital incorrectly included $3.3 million of non-patient care revenue in the AMG submission for PRF reporting.
  • Impacted Requirements: This misclassification violates HRSA guidelines on what constitutes patient care lost revenues.
  • Recommended Follow-Up: Enhance controls to ensure accurate review of HRSA guidance and proper inclusion of lost revenues in future submissions.

Finding Text

2023-001: Provider Relief Fund Reporting Cluster: Not applicable Federal Granting Agency: DHHS Health Resources and Services Administration (HRSA) Award Name: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number: 93.498 Assistance Listing Title: COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Award Year: January 1, 2020 – June 30, 2023 Criteria: Per the HRSA Provider Relief Fund (PRF) Lost Revenues Guide, PRF payment amounts may be applied to patient care lost revenues that have not been reimbursed by other sources. Patient care includes health care, services and supports, as provided in a medical setting, at home/telehealth, or in the community. Items not considered to be patient care include, but are not limited to, insurance, non-patient care, dining services, fundraising events, prescription sales revenues, grants or tuition, amounts of charity care adjustments, bad debt, retail, auxiliary or parking services, real estate revenues, amounts of contractual adjustments from all third-party payers and any gains and/or losses on investments. Condition: The Hospital completed two separate Period 5 PRF Reporting Portal submissions (one for AHS Hospital Corp and one for AMG). In both submissions, the Hospital attested to calculating lost revenues using Option (ii) per the HRSA User Guide – the difference between budgeted and actual patient care revenues for each quarter during the period of availability. However, within the AMG submission, management included approximately $3.3 million of other operating revenue that does not meet the HRSA User Guide definition of patient care lost revenues as noted above in the Criteria. Cause: Management erroneously included other operating revenue in the AMG submission in conjunction with the preparation and completion of the Period 5 PRF Reporting Portal submission. Effect: As management chose Option (ii) for the AMG submission and the budgets for July 1, 2022 to June 30, 2023 were not approved prior to March 27, 2020, the budget in those periods for the AMG submission was appropriately reported as zero. Although the actual patient care revenue reported was inaccurate, there was no impact to the amount of lost revenues reported for those periods as actuals exceeded the budget. Additionally, there were sufficient lost revenues related to the initial reporting period of January 1, 2020 to December 31, 2020 to cover the PRF amounts received and reported in Period 5, consistent with the AMG submission. Questioned Costs: Although the actual patient care revenue reported was inaccurate, there was no impact to the amount of lost revenues reported for those periods as actuals exceeded the budget. Additionally, there were sufficient lost revenues related to the initial reporting period of January 1, 2020 to December 31, 2020 to cover the PRF amounts received and reported in Period 5, consistent with the AMG submission. Recommendation: If future PRF funding is received, we recommend management enhance its control around the review of HRSA guidance to ensure proper review of all elements and inclusion of appropriate information (i.e. lost revenues) prior to any required future submissions to the portal. Management’s Views and Corrective Action Plan: Management’s response is included in “Management’s Views and Corrective Action Plan” included at the end of this report.

Categories

Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
97.036 Covid-19 Federal Emergency Management Disaster Relief Public Assistance $51.94M
21.027 Covid-19 Coronavirus State Fiscal Recovery Fund Project 2024 $28.58M
93.498 Covid-19 Provider Relief Program and American Rescue Plan (arp) Rural Distributon $8.71M
21.027 Covid-19 Western Region Plant Modernization $2.43M
93.399 Cancer Control $799,873
93.493 Community Project Funding/congressional Directed Spending - Construction $750,000
93.914 Ryan White Part A Hiv Emergency Relief Grant Program 2024 $380,042
93.116 Tuberculosis Ambulatory Care 2023 $150,074
93.940 Dhsts Federal Hiv Prevention Program 2023 $141,224
84.191 Early Intervention Program $140,215
20.600 Hts Federal Highway Safety Grant 2023 Morris County Safe Communities $77,976
93.898 New Jersey Cancer Education and Early Detection 2023 $65,520
97.067 Ffy21 Urban Area Security Initiative (uasi-Local Share) $55,600
93.914 Ryan White Part A Hiv Emergency Relief Grant Program 2023 $49,559
93.394 M.d. Anderson Edrn-Cvc for Early Detection of Ovarian Cancer (00004221) $39,837
93.994 Special Child Health Case Management 2023 $34,001
93.394 Randomized Prospective Phase II Clinical Trial of Nvx-108 in Association with Chemoradiation of Glioblastoma $33,199
93.994 Special Child Health Case Management 2024 $28,889
93.994 Special Child Health Child Evaluation Centers 2023 $28,834
93.497 Covid-19 Sexual Violence Direct Services $26,208
20.600 Hts Federal Highway Safety Grant 2024 Morris County Safe Communities $24,942
93.994 Special Child Health Child Evaluation Centers 2024 $22,836
93.958 Covid-19 Peer Support $18,275
93.395 Network Group Operations Center (medical Research Foundation) $15,800
93.855 Effect of Il-4rar576 Variant on Response to Dupilumab in Children with Asthma (idea) $14,527
16.575 Sexual Assault Response Team (sart)/forensic Nurse Examiner (fne) $13,894
93.898 New Jersey Cancer Education and Early Detection 2024 $10,765
17.268 H-1b Job Training Grants $8,735
93.837 Clinical, Electrocardiographic & Cardiac Magnetic Resonance Imaging Risk Factors Associated with Ventricular Tachyarrhythmias in Nonischemic Cardiomyopathy Urf (awd00002150) $4,170
93.866 Home-Based Cardiac Rehabilitation Using A Novel Mobile Health Exercise Regimen Following Transcatheter Heart Valve Interventions (home Run Hitter) $3,488
93.847 Clinical, Imaging, and Endoscopic Outcomes of Children Newly Diagnosed with Crohn's Disease (cameo) $2,150
93.395 Nci Cog/phi Nctn Network Group Operations Center (ar07544) $1,000
93.855 Comparative Effectiveness and Complications of Intravenous Ceftriaxone Compared with Oral Doxycycline in Lyme Meningitis $686
93.847 Type 1 Diabetes Trialnet $620
84.191 Covid-19 Early Intervention Program $150