Finding 401321 (2022-001)

Material Weakness
Requirement
B
Questioned Costs
-
Year
2022
Accepted
2024-06-20
Audit: 309423
Auditor: Gbn P A

AI Summary

  • Core Issue: The hospital overstated COVID-19 costs claimed under the Provider Relief Fund by not reducing them for Medicare reimbursements.
  • Impacted Requirements: Costs must be allowable and not reimbursed by other sources, as per Public Law 116-136.
  • Recommended Follow-Up: Review HHS reporting requirements and ensure future claims reflect accurate costs after accounting for reimbursements.

Finding Text

Identification: 93.498 United States Department of Health and Human Services, COVID-19 Provider Relief Fund; Noncompliance Finding/Material Weakness; Allowable Costs. Criteria: Allowable Costs (Public Law 116-136). Condition: Allowable costs related to the program are expenses or losses that were not reimbursed from other sources or that other sources were not obligated to reimburse. Cause: The Hospital did not reduce COVID-19 related costs claimed under the PRF program for costbased reimbursements received from the Medicare program for the COVID-19 related expense. Effect: The amount reported as COVID-19 related costs to the PRF program was overstated. Questioned costs: $0 Context/Perspective: Allowable costs were not reduced by $692,556, as estimated at the applicable reimbursement percentage for Medicare. However, the System had unused reported lost revenues of $1,353,065 and together with the remaining expenditures and reported lost revenues, the System had sufficient expenditures and lost revenues to support one hundred percent of the PRF grant funding received. Repeat Finding: N/A Recommendations: Refer to the HHS Provider Relief Fund General and Targeted Distribution Post Payment Notice of Reporting Requirements and the most recently distributed Provider Relief Fund frequently asked questions, which provide details on requirements related to the program. Views of Responsible Officials: The System will ensure the costs included in all subsequent Provider Relief Fund reporting is reduced for amounts reimbursed by other sources.

Corrective Action Plan

Allowable costs related to the program are expenses or losses that were not reimbursed from other sources or that other sources were not obligated to reimburse. The System did not reduce COVID-19 related costs claimed under the PRF program for cost-based reimbursements received from the Medicare program for the COVID-19 related expense. The System will ensure the costs included in all subsequent Provider Relief Fund reporting is reduced for amounts reimbursed by other sources. Status: Completed Name of Responsible Official: Monica Holthaus Chief Financial Officer Community Healthcare Systems NE Kansas 785-889-5036

Categories

Allowable Costs / Cost Principles Cash Management Material Weakness Reporting

Other Findings in this Audit

  • 977763 2022-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $6.07M
93.697 Covid-19 Testing for Rural Health Clinics $144,547
21.027 Coronavirus State and Local Fiscal Recovery Funds $99,493
93.301 Small Rural Hospital Improvement Grant Program $85,802