Finding 608797 (2022-001)

Significant Deficiency Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-07-01
Audit: 28447
Organization: Thomas Health System, Inc. (WV)

AI Summary

  • Core Issue: The System failed to report COVID-19 expenses accurately for Period 2, leading to non-compliance with U.S. Department of Health and Human Services guidelines.
  • Impacted Requirements: Reporting requirements for Provider Relief Funds (PRF) were not met, specifically regarding the adjustment of expenses reimbursed by other sources.
  • Recommended Follow-Up: Management should continue to implement updated policies and procedures to ensure thorough review and compliance with reporting guidelines for future periods.

Finding Text

2022-001: Significant Deficiency in Internal Controls Over Compliance Program COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing Number 93.498 Federal Agency U.S. Department of Health and Human Services Award Number N/A Award Year 2021 and 2020 Compliance Requirement Reporting Questioned Costs N/A Repeat of Prior Year Finding 2021-001 Criteria All recipients of Provider Relief Funds (PRF) payments must comply with the reporting requirements described in the PRF terms and conditions and specified in directions issued by the U.S. Department of Health and Human Services. Condition and Context The System did not complete the PRF reporting for Period 2 in accordance with the U.S. Department of Health and Human Services guidance due to errors in the underlying data that lead to errors in the Period 2 report that was submitted. In the period 2 Submission, the System reported $2,283,650 of COVID-19 expenses, but failed to reduce the expenses by amounts reimbursed by other sources. Management updated their policies and procedures prior to Reporting Period 3 to address this issue. The System had $42,620,438 of lost revenue through Period 2 reporting and has received $17,690,624 in PRF payments.Effect The amounts reported to HRSA during Period 2 reporting were not in accordance with established U.S. Department of Health and Human Services guidance. Cause The System has insufficient controls in place to identify and correct errors before reporting for Period 2 was completed. Recommendation We recommend that Management to continue to follow their newly established policy and procedures to ensure that the most recent guidelines are reviewed and understood and that all information is detail reviewed and errors addressed before reporting. View of Responsible Officials Management agrees with the finding, and policy and procedures were updated before reporting Period 3. Period 3 and 4 reporting were completed in accordance with the U.S. Department of Health and Human Services most guidance. The System received a notice from the Department of Health & Human Services dated December 29, 2022 that HRSA's Division of Financial Integrity has determined that the findings cited in the Single Audit Report for fiscal year October 1, 2020 through September 30, 2021 has been satisfactorily resolved.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 32355 2022-001
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $6.34M
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution - Period 3 $5.73M
93.498 Covid-19 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution - Period 2 $2.40M