Finding 512434 (2024-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2024-11-27

AI Summary

  • Core Issue: Internal controls over financial reporting failed to prevent and correct a significant error in financial statements for the year ended February 29, 2024.
  • Impacted Requirements: The lack of substantive analysis on the allowance for credit losses led to material misstatements in assets and expenses.
  • Recommended Follow-Up: Management should enhance internal controls and regularly review accounts receivable and credit loss estimates to prevent future errors.

Finding Text

Finding 2024-001: Internal Control Over Financial Reporting Criteria and Condition: Internal controls over financial reporting should be designed and in place to prevent, detect, and correct material misstatement in the financial statements in a timely manner. The internal controls were unable to prevent, detect, and correct a material error in the preparation of the financial statements as of and for the year ended February 29, 2024, in a timely manner. This resulted in resulted in a significant adjustment related to assets and expenses. Cause: Existing internal controls over financial reporting require that management perform meaningful analysis of internal records and general ledger accounts on a regular basis. Managements analysis of the allowance for credit losses and credit loss expense was not substantive enough which results in financial statements that contain a material error. Questioned Costs: None Recommendations: We recommend that management improve upon established internal controls related to review of accounts receivable and the allowance for credit losses to ensure the estimate is adequate going forward. Views of Responsible Officials and Planned Corrective Actions: Management is taking steps to improve their analysis of the allowance for credit losses to ensure it is adequate for all future periods.

Corrective Action Plan

Corrective Action: Comment: Due to illnesses, vacations, and holidays within our billing department at the end of 2023, we became almost 3 months in processing claims. This in turn caused a very large accrual at the fiscal year end into our AR. Most AR adjustments aren’t done until EOB’s are returned from the insurance companies. The auditors felt we didn’t account for enough adjustments per their sampling. • Recognize billing cycles are getting behind quicker by management. • Start having the billing director report new metrics monthly so management can react quicker to any potential issues. • Management needs to quickly formulate a plan to support the billing department to achieve an acceptable number of cycle days. o This could include approving overtime. o Adding temporary employees. o Having other staff with any experience assist the department.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 512435 2024-002
    Significant Deficiency
  • 1088876 2024-001
    Material Weakness
  • 1088877 2024-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $498,552
93.211 Rural Telemedicine Grants $321,825
93.224 Community Health Centers $253,678
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $184,030
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $100,000
32.006 Covid-19 Telehealth Program $38,355