Finding Text
Finding 2022-002: Revenue reported in PRF submission was overstated for 2nd quarter in 2019 and 2020
Criteria: HRSA requires entities to report quarterly net patient revenue under the PRF reporting requirements that is net of adjustments for all third-party payers, charity care adjustments, bad debt, and any discounts or adjustments.
Condition: Management’s submission reported revenues for the second quarter of 2019 and the second quarter of 2020 gross of adjustments for bad debt.
Cause: Management was unaware of the requirement to report net patient revenue net of adjustments.
Effect: Amount reported for the 2nd quarter of 2019 and the 2nd quarter of 2022 were overstated resulting in lost revenues that were higher than actual. This had no effect on lost revenue recovered by the Organization since the corrected lost revenue remained higher than the amount provided by the PRF program
Questioned Costs: None
Repeat Finding: No
Recommendation: We recommend that management become familiar with all PRF reporting requirements should additional funds become available.
View of Responsible Official: See Corrective Action Plan