FAC Explorer

Finding 575881 (2024-002)

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Requirement
J
Questioned Costs
-
Year
2024
Accepted
2025-09-08
Audit: 365838
Organization: Planned Parenthood South Atlantic, Inc. (NC)
Auditor: Tait Weller & Baker LLP

AI Summary

  • Core Issue: Planned Parenthood South Atlantic, Inc. failed to provide financial assessments for four patient visits, which are necessary to classify income accurately.
  • Impacted Requirements: The organization did not follow its own policy for timely and accurate financial assessments, leading to potential compliance issues.
  • Recommended Follow-Up: Ensure that all financial assessments are properly maintained and reviewed to support income classifications and charges for patient visits.

Finding Text

SECTION III – FEDERAL AWARD FINDINGS AND QUESTIONED COSTS DEPARTMENT OF HEALTH AND HUMAN SERVICES Family Planning Services Program – ALN #93.217 Finding 2024-002 Criteria and Condition: Planned Parenthood South Atlantic, Inc. is required to identify a patient’s income classification through a financial assessment. Planned Parenthood South Atlantic, Inc., in four instances, was unable to provide a financial assessment to support the patient visits being tested. Context: A sample of 60 patients who were provided care under the Program was selected for audit testing. Planned Parenthood South Atlantic, Inc. was unable to support the patient income classifications for four of the patients. Cause: Employees in certain instances did not adhere to the Organization’s policy with respect to maintaining timely and accurate financial assessments to support patient visits. Certain financial assessments were, at times, overwritten when a new financial assessment was performed. Effect: The effect of not maintaining financial assessments for the visits being tested is unknown. Questioned Costs: None Auditors’ Recommendation: Planned Parenthood South Atlantic, Inc. should ensure that financial assessments are maintained to support patients’ income classifications and amounts charged. Views of Responsible Officials and Planned Corrective Actions: Please see management’s corrective action plan provided.

Corrective Action Plan

Finding 2024-002 Recommendation: The Organization should ensure that financial assessments are maintained to support patients’ income classifications and amounts charged. Corrective Action: Management will establish enhanced controls to ensure compliance with financial assessment requirements: •System Safeguards: Configure patient financial systems to prevent existing financialassessments from being overwritten when updates are made. •Documentation Procedures: Require scanned or electronic copies of financial assessments tobe retained in each patient record for audit verification. •Training: Staff will receive mandatory training on documentation standards, system use, andcompliance with Title X financial assessment rules. Training will be incorporated into new hireonboarding and annual compliance refreshers. •Monitoring: Quarterly compliance reviews will be conducted by the Finance Department inpartnership with Compliance to ensure proper maintenance of financial assessments. Findingswill be reported to management and corrective measures taken immediately. Person Responsible: Karl Leveille, Chief Financial Officer Anticipated Completion Date: Beginning April 2025, when Title X funds were withheld by the Organization. In the event funding is restored, corrective measures — including staff training, documentation, and monitoring — will be fully in place.

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Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.217 Family Planning Services $2.14M