Finding 965891 (2023-002)

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Requirement
L
Questioned Costs
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Year
2023
Accepted
2024-03-29
Audit: 300395
Organization: Nevada Regional Medical Center (MO)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Medical Center inaccurately reported total lost revenues in the period 4 provider relief fund report.
  • Impacted Requirements: Compliance with reporting standards under 45 CFR 75.342 was not met due to calculation errors.
  • Recommended Follow-Up: Update policies and procedures for federal grant reporting to ensure accuracy and completeness in future submissions.

Finding Text

Provider Relief Funds ALN No. 93.498 U.S. Department of Health and Human Services Criteria or Specific Requirement – Reporting (45 CFR 75.342) Condition – The Medical Center is required to prepare and submit period 4 provider relief fund reporting. This report is to be prepared using accurate financial information submitted by the deadline established. Questioned Costs – None Context – The period 4 provider relief fund report was tested. The Medical Center reported expenditures for the American Rescue Plan (ARP) Rural payment and expenditures for Other Provider Relief Fund payments. In addition, the Medical Center selected option iii to report lost revenues. Amounts reported for eight of the fourteen attributes tested for the period 4 report were not calculated accurately. Effect – Errors were made in reporting total lost revenues. These errors did not result in a change in the usage of the provider relief fund payments. Cause – The Medical Center did not correctly report the total lost revenues. 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.

Categories

Reporting

Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $2.37M