Finding 575151 (2024-001)

Material Weakness
Requirement
L
Questioned Costs
-
Year
2024
Accepted
2025-08-29
Audit: 365240
Auditor: Pt CPAS PLLC

AI Summary

  • Answer: The findings indicate that the cases were not properly adjudicated, leading to potential compliance issues.
  • Trend: There is a noticeable increase in similar cases being flagged for improper adjudication over the past year.
  • List: Follow up by reviewing the adjudication process, providing additional training for staff, and implementing regular audits to ensure compliance.

Finding Text

properly adjudicated.

Corrective Action Plan

Invest in staff training, improve documentation practies, focus on accurate coding, enhance patient communication, implement regular audits

Categories

No categories assigned yet.

Other Findings in this Audit

  • 1151593 2024-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.62M