Finding 518402 (2024-002)

Material Weakness
Requirement
B
Questioned Costs
$1
Year
2024
Accepted
2025-01-09
Audit: 336781
Organization: Concept Health System, INC (FL)
Auditor: Zomma Group LLP

AI Summary

  • Core Issue: There are serious problems with billing practices, employee qualifications, and missing clinical records, leading to a material weakness in compliance.
  • Impacted Requirements: The organization must follow the rules set by the Uniform Guidance and Grant Agency, specifically under 2 CFR Part 200, Subpart E.
  • Recommended Follow-Up: Develop and implement stronger policies and procedures to address these issues and prevent future noncompliance.

Finding Text

Finding 2024-002 Department of Health and Human Services 2024-002 – The Organization should strengthen controls in billings, clinical records, allowable costs, and employee educational qualification compliance Noncompliance (Material Weakness) Program: Assistance Listing 93.958 and 93.959 - Block Grant for Community Mental Health and Prevention and Treatment of Substance Abuse Conditions: Allegations of inappropriate billing, educational qualification issues, inappropriate mileage reimbursement billing, missing clinical records to support services billed, and questioning of pay rates and/or increases. Criteria: In accordance with the Uniform Guidance and Grant Agency, provider is to abide by administrative and contractual requirements under the principles in 2 CFR Part 200, Subpart E. Cause: Due to an internal control weakness and management turnover, the transactions were processed. Recommendation: In order to prevent future occurrences of the noncompliance, policies should be developed, and procedures implemented. Responsible Officials: The acting Executive Director reported incident immediately and enforced quality improvement program in order to ensure that fraud, waste, and abuse do not occur. However, several allegations are being investigated and are currently being responded, by the Organization. Known Cost Per Grantor $941,324

Corrective Action Plan

Responsible Officials: The acting Executive Director reported incident immediately and enforced quality improvement program in order to ensure that fraud, waste, and abuse do not occur. However, several allegations are being investigated and are currently being responded, by the Organization.

Categories

Questioned Costs Procurement, Suspension & Debarment Allowable Costs / Cost Principles Cash Management Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 518401 2024-001
    Significant Deficiency
  • 1094843 2024-001
    Significant Deficiency
  • 1094844 2024-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.959 Block Grant for Prevention and Treatment of Substance Abuse $2.73M
93.958 Block Grant for Community Mental Health Services $1.91M
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $17,441