Finding 1148173 (2023-003)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2025-07-22
Audit: 362739
Organization: Helena Indian Alliance (MT)
Auditor: Jccs PC

AI Summary

  • Issue: Gross revenue and contractual allowances were overstated in the general ledger, despite net patient service revenue being correct.
  • Requirements Impacted: GAAP mandates accurate recording of revenue and deductions, supported by proper documentation.
  • Recommended Follow-Up: Review and correct the individual components in the billing and patient accounting system to ensure compliance with GAAP.

Finding Text

Finding 2023-003: Overstatement of Gross Revenue and Contractual Allowances in the General Ledger - Condition and Criteria: GAAP require that revenue and related deductions such as contractual allowances be recorded accurately and supported by underlying records. During our testing of patient service revenue, we noted that both gross revenue and contractual allowances were overstated in the general ledger. Although the net patient service revenue was ultimately stated correctly, the individual components were not accurately supported by the billing or patient accounting system.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 571729 2023-001
    Material Weakness Repeat
  • 571730 2023-002
    Significant Deficiency
  • 571731 2023-003
    Significant Deficiency
  • 571732 2023-004
    Significant Deficiency
  • 571733 2023-005
    Material Weakness
  • 1148171 2023-001
    Material Weakness Repeat
  • 1148172 2023-002
    Significant Deficiency
  • 1148174 2023-004
    Significant Deficiency
  • 1148175 2023-005
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.193 Helena Urban Clinic $4.45M
93.237 Special Diabetes Program for Indians_diabetes Prevention and Treatement Projects $282,807
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $273,140
93.788 Opioid Str $59,026
93.638 Rocky Mountain Tribal Leaders Council Tribal Opioid Response $10,140