Finding 608795 (2022-002)

Material Weakness
Requirement
B
Questioned Costs
$1
Year
2022
Accepted
2022-12-29
Audit: 27255
Organization: Spooner Health System (WI)

AI Summary

  • Core Issue: There was a failure to reduce Provider Relief Fund claims by amounts reimbursed through Medicare, leading to potential excess reimbursement.
  • Impacted Requirements: Provider Relief Fund guidelines state that costs reimbursed by other sources, like Medicare, must not be claimed again.
  • Recommended Follow-Up: Management should review and adjust reimbursement requests to align with Provider Relief Fund guidelines to prevent future issues.

Finding Text

2022-002 Allowable Costs Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Provider Relief Fund AL Number: 93.498 Award Period: April 1, 2020 ? June 30, 2020 (Period 1) and July 1, 2020 ? December 31, 2020 (Period 2) Type of Finding: Material Weakness in Internal Control over Compliance and Other Matters Criteria or specific requirement: Provider Relief Fund cannot be used to cover expenditures for which reimbursement is received. Condition and Context: During our testing we noted amounts reimbursed through the Provider Relief Fund were not reduced by the cost-based portion reimbursed by Medicare through the Medicare cost report. Cause: Management oversight in submitting costs for reimbursement without reducing for the amount that would be reimbursed through the Medicare cost report. Effect: Potential to receive excess reimbursement from the Provider Relief Fund. Questioned Costs: $245,075 Repeat finding: No Recommendation: We recommend that management review the Provider Relief Fund guidelines to make sure amounts requested for reimbursement are in line with the guidelines. Management?s Response: Management will review reporting requirements to ensure proper reporting in future periods. However, it is noted there was sufficient lost revenue to support the PRF distributions received.

Categories

Internal Control / Segregation of Duties Questioned Costs Allowable Costs / Cost Principles Cash Management Material Weakness Reporting

Other Findings in this Audit

  • 32351 2022-004
    Significant Deficiency
  • 32352 2022-003
    Material Weakness
  • 32353 2022-002
    Material Weakness
  • 608793 2022-004
    Significant Deficiency
  • 608794 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $4.24M