Finding 8984 (2023-001)

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Requirement
L
Questioned Costs
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Year
2023
Accepted
2024-01-18

AI Summary

  • Core Issue: The Hospital incorrectly included upper payment limit payments in net patient revenue for 2019 and 2020, affecting lost revenue calculations.
  • Impacted Requirements: These payments should have been classified as "other source of revenue," leading to inaccuracies in reported lost revenue.
  • Recommended Follow-Up: Review and correct the lost revenue figures to address the $3.7 million overstatement and ensure compliance in future reporting.

Finding Text

The Hospital included upper payment limit payments received in net patient revenue in prior reporting for 2019 and 2020 thus including them in the lost revenue calculation. The upper payment limit payments should have been treated as "other source of revenue" for purposes of the lost revenue calculation. During the latest reporting, the Hospital corrected this error, however, the lost revenue per quarter are incorrect. The error resulted in a reported overstatement of lost revenue of approximately $3.7 million.

Corrective Action Plan

The Hospital will reach out to HRSA to inquire as to the appropriate course of action. If an amendment of the reporting is rquired, the Hospital will submit an amended report.

Categories

Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $7.58M