Finding 638306 (2022-005)

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Requirement
L
Questioned Costs
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Year
2022
Accepted
2022-10-20
Audit: 57160
Organization: Dundy County Hospital (NE)
Auditor: Eide Bailly LLP

AI Summary

  • Core Issue: Lost revenue was reported incorrectly, using gross charges instead of net patient revenue.
  • Impacted Requirements: Reporting must exclude contractual adjustments and bad debts as per HRSA guidelines.
  • Recommended Follow-Up: Ensure the Hospital understands all grant reporting requirements for compliance.

Finding Text

Criteria: The HRSA Provider Relief Fund Reporting and Auditing Questions under calculating eligible expenses and lost revenue state that when reporting lost revenues, Reporting Entities should exclude the amount of contractual adjustments from all third party payers and charity care adjustments, as applicable when determining patient care related revenue sources. The instructions in the PRF Reporting Portal User Guide also state that patient revenue should also be reported net of uncollectible patient services revenues recognized as bad debts. Condition: Amounts reported for lost revenue were not in accordance with the terms and conditions of the Provider Relief Reporting Portal User Guide and Reporting and Auditing Questions. Cause: Management reported lost revenue based upon gross charges rather than net patient revenue. Effect: Amounts reported for lost revenue in the Provider Relief Fund reporting portal were not accurate and were overstated. Questioned costs: $0 Context: Lost revenue appears to be misreported by an estimated $225,000, which could be offset by unreimbursed expenses reported in the amount of $64,110. Recommendation: We recommend the Hospital ensure it is familiar with all reporting requirements of grant awards to ensure proper compliance. Views of Responsible Officials: We concur with the finding and will work with HRSA on an appropriate course of action. See Corrective Action Plan.

Categories

Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.51M
93.697 Rural Health Clinic Testing and Mitigation $140,678
93.461 Hrsa Covid-19 Claims Reimbursement for the Uninsured Program $70,884
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $56,809
93.301 Small Rural Hospital Improvement Program $11,855