Finding 950791 (2022-004)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-03-07
Audit: 293955
Auditor: Rsm US LLP

AI Summary

  • Core Issue: The calculation of lost revenues for 2021 was inaccurate, failing to match audited net patient revenue figures.
  • Impacted Requirements: Reporting through the Required Relief Funds Reporting Portal must accurately reflect expenses and lost revenues.
  • Recommended Follow-Up: Implement procedures for accurate reporting and ensure a secondary review by management before submissions.

Finding Text

Criteria: The Provider Relief Funds are required to be reported through the Required Relief Funds Reporting Portal and include key items for Provider Relief Fund expenses and calculation of lost revenues. Condition: While management’s calculation of lost revenues for 2020 was determined to be accurate, as the 2019 and 2020 reported numbers in the portal submission reconciled and agreed to the Company’s audited net revenue amounts for those periods, the calculation of lost revenues for 2021 was not accurate. The reported amounts of net revenue from fiscal year 2021 and fiscal year 2022 (partially from calendar year 2021) did not reconcile or agree to the audited amounts of net patient revenue from these periods. Effect: The reporting in the portal inaccurately reported total lost revenues for each subsidiary’s portal submission. However, there were no questioned costs, as the 2020 reported lost revenues that were determined to be accurate, exceeded any amounts received from the Provider Relief Fund in the period under audit, and the cumulative receipts of Provider Relief Funding in all periods. Cause: The Company’s reporting over patient service revenue that was utilized in the compilation of the portal submission was inaccurate, and did not agree to the final 2021 audited amounts. In addition, there was no evidence that a secondary member of management reviewed the information prior to its submission. Recommendation: We recommend that management implement procedures and controls to ensure that all reporting and submissions to federal agencies are accurate and are sufficiently reviewed by another member of management prior to the submission. Repeat finding: No Views of responsible officials and planned corrective actions: See attached letter. Reportable questioned costs: None

Categories

Reporting

Other Findings in this Audit

  • 374349 2022-004
    Significant Deficiency
  • 374350 2022-003
    Material Weakness
  • 374351 2022-005
    Significant Deficiency
  • 950792 2022-003
    Material Weakness
  • 950793 2022-005
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.07M
93.461 Covid-19 Testing for the Uninsured $252,762