Finding 622424 (2022-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-03-30
Audit: 41573
Organization: Mercy Health (MO)

AI Summary

  • Core Issue: Incorrect reporting of net patient service revenue (NPSR) by payer for CY2021 Q4, although total NPSR was accurate.
  • Impacted Requirements: Compliance with Section 200.303 of the Uniform Guidance, which mandates effective internal controls over federal awards.
  • Recommended Follow-Up: Enhance internal controls for reviewing PRF Reports to ensure accurate allocation of NPSR by payer.

Finding Text

Finding 2022-002 Reporting Information on the federal program: Federal Grantor: United States Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) Assistance Listing No.: 93.498, COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Provider Relief Fund Reporting Entities: Mercy Hospital Fort Smith, Mercy Hospital Springfield, Mercy Hospital Oklahoma City, Mercy Hospital Joplin Tax Identification Numbers: 710240352, 440552485, 730579285, 270814858 Period of Availability: 01/01/2020?12/31/2021 (Period 2) and 01/01/2020?06/30/2022 (Period 3) 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).? The terms and conditions of the award require the recipient to submit reports as the secretary of HHS determines are needed to ensure compliance with the conditions that are imposed on the payment, and such reports shall be in such form, with such content, as specified by the secretary of HHS in future program instructions directed to all recipients. Condition: The amounts reported for net patient service revenue (NPSR) by payer for calendar year 2021 Quarter 4 (CY2021 Q4) were incorrect. However, total NPSR was correct. Cause: Management?s review of the allocation of total NPSR to the payer classification required in the PRF report was not sufficiently precise to detect that the incorrect quarter?s payer percentages were used to allocate gross revenue for CY2021 Q4. Effect or potential effect: NPSR by payer was incorrectly reported for CY2021 Q4. Questioned costs: None. Context: We tested 5 of 14 Period 2 and 3 PRF Reports submitted to HRSA. For 4 of the 5 Period 2 and 3 PRF reports tested, the NPSR amounts reported by payer were incorrect for CY2021 Q4 as follows (increase/(decrease)): See chart/table in the Schedule of Findings and Questioned Costs. The differences noted by payer resulting from the use of incorrect allocation percentages did not impact total NPSR reported for CY2021 Q4. Total federal expenditures for Assistance Listing 93.498 totaled $81,685,379 for the year ended June 30, 2022. Identification as a repeat finding, if applicable: The finding is not a repeat finding from the prior year. Recommendation: Mercy Health should ensure internal controls over the review of PRF Reports are enhanced to include sufficient precision to allow for accurate reporting of NPSR by payer. Views of Responsible Officials: While there was no impact on total NPSR reported for Q4 2021, we agree that the percentages used to allocate gross revenue by payer were incorrect. Going forward, we will provide additional review of payer allocation percentages to ensure accuracy.

Categories

Allowable Costs / Cost Principles Reporting Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties

Other Findings in this Audit

  • 45981 2022-001
    Material Weakness Repeat
  • 45982 2022-002
    Significant Deficiency
  • 622423 2022-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Covid-19: Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $81.69M
93.461 Covid 19: Hrsa Covid-19 Claims Reimbursement for the Uninsured Program and the Covid-19 Coverage Assistance Fund $14.28M
93.103 Food and Drug Administration Research $409,941
16.575 Crime Victim Assistance $375,488
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $275,154
21.019 Covid-19: Coronavirus Relief Fund $255,481
32.006 Covid-19: Covid-19 Telehealth Program $139,717
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $106,815
93.558 Temporary Assistance for Needy Families $99,779
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $72,531
93.889 Covid-19: National Bioterrorism Hospital Preparedness Program $62,205
16.588 Violence Against Women Formula Grants $45,823
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $34,679
14.231 Emergency Solutions Grant Program $31,795
93.558 Covid-19: Temporary Assistance for Needy Families $30,272
93.945 Assistance Program for Chronic Disease Prevention and Control $29,666
93.350 National Center for Advancing Translational Sciences $20,172
93.310 Trans-Nih Research Support $15,436
10.558 Child and Adult Care Food Program $13,240
16.590 Grants to Encourage Arrest Policies and Enforcement of Protection Orders Program $11,402
93.301 Small Rural Hospital Improvement Grant Program $11,359
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $8,415
93.994 Maternal and Child Health Services Block Grant to the States $6,320
14.231 Covid-19: Emergency Solutions Grant Program $5,589
20.600 State and Community Highway Safety $5,165
93.889 National Bioterrorism Hospital Preparedness Program $4,000
21.027 Covid-19: Coronavirus State and Local Fiscal Recovery Funds $3,489
93.667 Social Services Block Grant $2,227
10.855 Distance Learning and Telemedicine Loans and Grants $1,348
93.671 Covid-19: Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $496