Finding 598225 (2022-001)

Significant Deficiency Repeat Finding
Requirement
AE
Questioned Costs
-
Year
2022
Accepted
2023-05-29
Audit: 19457

AI Summary

  • Core Issue: Accounts eligible for HRSA COVID-19 reimbursement were improperly excluded from review due to a flawed initial script.
  • Impacted Requirements: Compliance with Section 200.303 of the Uniform Guidance regarding effective internal controls over federal awards.
  • Recommended Follow-Up: Ensure that review controls are properly designed and maintained to prevent future exclusions, although no further action is needed now as the program has ended.

Finding Text

Finding 2022-001 ? Activities Allowed or Unallowed and Eligibility Identification of the federal program: Federal Grantor: United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.461, COVID-19 HRSA COVID-19 Claims Reimbursement for the Uninsured and the COVID-19 Coverage Assistance Fund Federal Award Numbers: Various Federal Award Period of Performance: September 1, 2021 to April 5, 2022 Criteria or specific requirement (including statutory, regulatory or other citation): Section 200.303 of the Uniform Guidance states the following regarding internal control: ?The non-Federal entity must: (a) Establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in ?Standards for Internal Control in the Federal Government? issued by the Comptroller General of the United States or the ?Internal Control Integrated Framework,? issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).? Condition: As part of our testing of the Company?s internal control over allowability as it relates to all accounts identified with a potential COVID-19 account billing indicator that are subsequently reviewed by the Company to determine whether the account can be billed to the HRSA COVID-19 Claims Reimbursement for the Uninsured program, we identified a population of accounts that were improperly excluded from the review for the period September 1, 2021 to December 31, 2021. Cause: The original script to capture potential accounts for the HRSA COVID-19 Claims Reimbursement for the Uninsured program did not include accounts that had a zero balance and/or were in a closed status. Effect or potential effect: Accounts existed that might have been able to be billed to the HRSA COVID-19 Claims Reimbursement for the Uninsured program. Questioned costs: None. Context: Forty accounts were sampled from a population of 20,706 accounts identified with a potential COVID-19 account billing indicator. For 12 (30%) of the 40 accounts sampled, although the account was identified with a potential COVID-19 account billing indicator, the account was excluded from further review for potential billing to the HRSA COVID-19 Claims Reimbursement for the Uninsured program. These accounts were either related to the Company?s HealthLab financial assistance scoring or the patient was previously approved for Company financial assistance, and so these accounts were adjusted off to financial assistance shortly after the account qualified for billing. It was determined that a total of 2,098 (10.13%) accounts were excluded from the Company?s HRSA review for the period September 1, 2021 to December 31, 2021, and, of these 2,098 accounts, 1,898 (90.47%) related to lab accounts that averaged $165 to $190 in gross charges. Federal expenditures for Assistance Listing 93.461 totaled $2,907,040 for the year ended August 31, 2022. Identification as a repeat finding, if applicable: The finding is a repeat of finding 2021-001 from the prior year. Recommendation: The Company should ensure that review controls are properly designed. Views of responsible officials: In response to the prior-year finding, and after the fiscal year ended August 31, 2021, the Company redesigned its allowability review control to include these previously omitted accounts, as applicable and subject to timely claim filing requirements. The corrective action plan was completed and in place by December 31, 2021, shortly after the FY20 Uniform Guidance audit was completed on November 29, 2021. The HRSA COVID-19 Claims Reimbursement for the Uninsured program ceased to accept claims for testing and treatment effective March 22, 2022, and claims for vaccination were no longer accepted after April 5, 2022. Therefore, no further remediation is required at this time.

Categories

Cash Management Eligibility Period of Performance Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 21783 2022-001
    Significant Deficiency Repeat
  • 21784 2022-002
    Significant Deficiency
  • 598226 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $199.87M
93.461 Covid-19 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $2.91M
32.006 Covid-19 Telehealth Program $1.00M
93.958 Block Grants for Community Mental Health Services $528,753
93.323 Covid-19 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $456,904
97.036 Covid-19 Disaster Grants - Public Assistance (presidentially Declared Disasters) $325,773
93.959 Block Grants for Prevention and Treatment of Substance Abuse $301,966
93.994 Maternal and Child Health Services Block Grant to the States $231,787
20.600 State and Community Highway Safety $217,654
93.965 Coal Miners Respiratory Impairment Treatment Clinics and Services $199,586
93.155 Covid-19 Rural Health Research Centers $174,451
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $117,031
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $50,087
93.395 Cancer Treatment Research $23,142
93.889 Covid-19 National Bioterrorism Hospital Preparedness Program $15,000
93.301 Small Rural Hospital Improvement Grant Program $11,722
93.110 Maternal and Child Health Federal Consolidated Programs $9,555
93.393 Cancer Cause and Prevention Research $9,194
93.173 Research Related to Deafness and Communication Disorders $6,712
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $1,656