Finding 966603 (2022-001)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2024-03-29
Audit: 301078
Organization: Capital Region Medical Center (MO)
Auditor: Forvis LLP

AI Summary

  • Core Issue: The Medical Center inaccurately reported lost revenues for provider relief funds, affecting compliance with reporting requirements.
  • Impacted Requirements: Reports must be prepared using accurate financial data and submitted on time, as per 45 CFR 75.342.
  • Recommended Follow-Up: Update policies and procedures to ensure complete and accurate information is used in federal grant reporting.

Finding Text

Provider Relief Funds CFDA 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 2 and period 3 provider relief fund reporting. These reports are to be prepared using accurate financial information and submitted by the deadline established. Questioned Costs – None Context – The period 2 and period 3 provider relief fund reports were tested. The Medical Center selected option 1 to report lost revenues based on quarterly actual amounts. Amounts reported for each quarter were not calculated accurately. Effect – Errors were made in reporting quarterly Total Revenue/Net Charges from Patient Care. Cause – The Medical Center did not identify certain patient service revenue adjustment accounts in their calculation of lost revenues. Identification as a repeat finding – Is a repeat finding. See 2021-001. 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

  • 390161 2022-001
    Material Weakness Repeat
  • 390162 2022-002
    Material Weakness
  • 966604 2022-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $5.18M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $3.75M
32.005 Universal Service Fund - Rural Health Care $24,560