Finding 47449 (2022-002)

Significant Deficiency
Requirement
AB
Questioned Costs
$1
Year
2022
Accepted
2023-09-18
Audit: 53673
Organization: Planned Parenthood South Texas (TX)
Auditor: Rsm US LLP

AI Summary

  • Core Issue: The organization submitted reimbursement for 3,648 patients while only serving 2,964, leading to an overpayment of $83,701.
  • Impacted Requirements: Internal controls over federal awards were ineffective, violating 2 CFR 200.303, which mandates compliance with federal regulations.
  • Recommended Follow-Up: Management should strengthen controls to ensure proper review of expenditures and prevent unallowable costs from being charged to the program.

Finding Text

Finding 2022.002?Activities Allowed or Unallowed, Allowable Costs/Cost Principles United States Department of Health and Human Services Family Planning Services Assistance Listing No.93.217 Federal Award Number: FPHPA006525 Federal Award Year: 2022 Type of Finding: Significant Deficiency Criteria: Per 2 CFR 200.303, the Organization must establish and maintain effective internal controls over federal awards that provide reasonable assurance that it is managing federal awards in compliance with federal statutes, regulations and provisions of contracts or grant agreements that could have a material effect on each of its federal programs. Condition: As of December 31, 2022, the Organization provided health care services to 2,964 patients, however the reimbursement request was for 3,648 patients. The difference between the expected patients versus actual created an overpayment of federal funds totaling $83,701 at December 31, 2022. Management subsequently returned the funds to the granting agency. Cause: Control procedures did not function as designed and thus unallowable costs were submitted for reimbursement. While unallowable expenditures may have been initially charged to the grant, the Organization planned to return any unallowable costs subsequent to year-end. Effect: Failure to review expenditures at a detailed level could result in unallowable costs or expenditures claimed. Questioned costs: $83,701 Context: Reimbursement request was made using the expected number of patients that would be serviced, however the actual patients served totaled 2,964. Repeat finding: No Recommendation: We recommend management enhance controls related to review of expenditures for compliance with allowable costs and activities unallowed requirements to ensure unallowed costs are not charged to the program. View of responsible officials: Management concurs with the finding. See corrective action plan.

Corrective Action Plan

2022.002: Activities Allowed or Unallowed, Allowable Costs/Cost Principles United States Department of Health and Human Services Family Planning Services Assistance Listing No.93.217 Federal Award Number: FPHPA006525 Federal Award Year: 2022 Type of Finding: Significant Deficiency Finding: As of December 31, 2022, the Organization provided health care services to 2,964 patients, however the reimbursement request was for 3,648 patients. The difference between the expected patients versus actual created an overpayment of federal funds totaling $83,701 at December 31, 2022. Management subsequently returned the funds to the granting agency. Corrective Actions Taken or Planned: Management will track patients per month to evaluate whether actual patient volume is meeting the expected patient volume. The Organization, at year-end, will assess whether the actual patient volume for the year met the expected patient volume and has earned all the recorded revenue. If overpayment was made, the Organization will adjust the recorded revenue to reflect actual earned revenue. Individual(s) Responsible: Magda Mijares, Controller Adron Cooley, Revenue Cycle Manager Anticipated Date of Completion: Organization started evaluating as soon as the issue was known on 5/16/2023 and will continue to do so for the rest of the grant period.

Categories

Questioned Costs Allowable Costs / Cost Principles

Other Findings in this Audit

  • 47448 2022-003
    Significant Deficiency
  • 623890 2022-003
    Significant Deficiency
  • 623891 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.217 Family Planning_services $362,616