Finding 31478 (2022-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-01-24
Audit: 27124
Organization: Yuma Regional Medical Center (AZ)
Auditor: Moss Adams LLP

AI Summary

  • Core Issue: There was a material weakness in internal controls over compliance, leading to $2.4 million in duplicate expense reporting for the Provider Relief Fund.
  • Impacted Requirements: Providers must accurately report fund usage and compliance with program terms; errors occurred due to staffing disruptions and evolving program conditions.
  • Recommended Follow-Up: Implement stronger review controls to prevent errors and ensure compliance in future reporting periods.

Finding Text

Finding 2022-001 ? Reporting ? Material Weakness in Internal Control Over Compliance and Instance of Noncompliance Federal Program: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution (Assistance Listing #93.498) Federal Agency: U.S. Department of Health and Human Services Award Year: 2020-2021 Criteria: Under the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program, providers are required to submit reporting to the Health Resources Services Administration (HRSA) that describes the uses of the funds and how the provider complied with the terms and conditions of the program. Condition: During our testing of the reporting of expenses that were reimbursed by Provider Relief Fund distributions for Period 2, it was identified that $2.4 million of expenses reported as general expenses in Period 2 were also included in the general expenses in Period 1 and were therefore ineligible to be additionally reimbursed. Additionally, approximately $2.4 million of additional lost revenues should have been reported under the selected methodology. Cause: The Medical Center has experienced business and staffing disruptions in recent fiscal years. This situation, coupled with the evolving nature of the specific terms and conditions of the Provider Relief Fund program, is the primary cause. Effect or potential effect: Due to business and staffing disruptions, duplicate expenses and lower lost revenues were reported to HRSA in the reporting Period 2. However, sufficient lost revenues were reported in Period 1 to cover the duplicate expense amount reported of $2.4 million. Questioned costs: None to be reported. Context: During the fiscal year ended September 30, 2022, health care providers were subject to staffing shortages as well as increased operational challenges as a result of the COVID-19 pandemic. As a result, the Medical Center did not have sufficient staffing levels to perform precise reviews to validate the expenses and lost revenue calculation subject to Provider Relief Fund reporting. Identification as a repeat finding, if applicable: This is not a repeat finding. Recommendation: We recommend that the Medical Center implement review controls at a sufficient precision threshold to detect errors and duplicate expense entries in reporting expense amounts that do not comply with the terms and conditions of the Provider Relief Fund Program. Views of responsible officials: Beginning with Period 4 reporting, the Medical Center has implemented an additional review control over the HRSA reporting prior to the report submission.

Corrective Action Plan

To Whom It May Concern: This letter includes the corrective action plan in response to the audit finding from the Single Audit for the 2020-2021 Award Year. Audit Finding: 2022-001: Under the Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Program, providers are required to submit reporting to the Health Resources Services Administration (HRSA). During the single audit, it was determined that roughly $2.4 million of expenses were reported as general expenses in Period 2, were also included as general expenses in Period 1 reporting. We agree with the audit finding and action will be taken to improve this gap going forward by updating procedures for these kinds of requirements. Controls will be implemented whereby there will be a secondary reviewer along with the appropriate sign-off validating the data has been accurately reported to ensure we are in compliance. The contact person responsible for the corrective action plan is James Salerno. The corrective action plan has been implemented as of January 1, 2023. Please let me know if you have any additional questions.

Categories

Eligibility Material Weakness Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 607920 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distributions $22.75M
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $1.75M