Finding 8503 (2023-001)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2023
Accepted
2024-01-15
Audit: 11471
Organization: Burrell-Preferred, Inc. (MO)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Organization failed to accurately report quarterly Total Revenue from Client Care for the Provider Relief Fund.
  • Impacted Requirements: Reporting must comply with 45 CFR 75.342, ensuring accurate financial information is submitted by deadlines.
  • Recommended Follow-Up: Update policies and procedures for federal grant reporting to guarantee complete and accurate data is used in future reports.

Finding Text

Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Assistance Listing No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.342). Condition – The Organization is required to prepare and submit period four Provider Relief Funding Reporting. This report is to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs - None Context – The period four Provider Relief Fund report was tested for four subsidiaries within Burrell-Preferred, Inc., d/b/a Brightli and Affiliates. The Organization selected Option i and Option iii for various entities to report lost revenues. Certain adjustments for allowances on accounts receivable balances were improperly excluded from quarterly revenues related to client care. Eighty attributes were tested of which sixteen had errors. The reporting errors identified did not result in any changes in the use of the Provider Relief Fund payments as reported. Effect – Errors were made in reporting quarterly Total Revenue from Client Care. Lost revenues were not accurately reported. Cause – The Organization improperly excluded certain patient service revenue components in their calculation. Identification as a Repeat Finding – Not a repeat finding. Recommendation – Policies and procedures over federal grant reporting should be modified to ensure reports are prepared using complete and accurate information.

Corrective Action Plan

The Director of Grants Accounting has reviewed the procedures surrounding Provider Relief Funds reporting and made the necessary changes to ensure on-going compliance to address the following significant deficiency noted in the 6.30.23 single audit. Root Cause: The root cause of the finding was human error and version control of the reporting file. All accurate reporting information was prepared and available for submission. Inadvertently, an outdated reporting file was uploaded to the reporting portal instead of the correct information. Action Plan: 1) The Director of Grants Accounting will provide training on version control of documents on 12/20/23 and annually thereafter. 2) Two additional experienced grants accounting team members have been added on 11/13/23 to allow for additional compliance expertise and review capacity. 3) All future Provider Relief funds reporting will have management review before submission. Responsible Individual: Ruth Shryack, Director of Grants Accounting (ruth.shryack@pfh.org)

Categories

Reporting

Other Findings in this Audit

  • 584945 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.958 Block Grants for Community Mental Health Services $4.05M
93.498 Provider Relief Fund $2.80M
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $2.54M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $2.34M
93.087 Enhance Safety of Children Affected by Substance Abuse $1.19M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.18M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $361,803
16.575 Crime Victim Assistance $314,174
93.917 Hiv Care Formula Grants $239,871
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $177,848
93.732 Mental and Behavioral Health Education and Training Grants $154,965
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $140,591
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $97,553
14.267 Continuum of Care Program $79,970
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $74,153
16.017 Sexual Assault Services Formula Program $68,203
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $63,889
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $61,980
93.575 Child Care and Development Block Grant $22,810
93.778 Medical Assistance Program $22,790
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $17,414
16.034 Coronavirus Emergency Supplemental Funding Program $14,302
93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services $12,125
16.588 Violence Against Women Formula Grants $11,702
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $9,683
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $1,686
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $488
21.027 Coronavirus State and Local Fiscal Recovery Funds $286