EIN: 236461770
UEI: GSA_MIGRATION
Audited by: LEITZELL & ECONOMIDIS, PC
Oversight agency: 93 [Department of Health and Human Services]
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Data as of September 2, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on March 26, 2020. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by September 26, 2020 (2170 days ago).
What is a management decision? →Accounts receivable and corresponding revenue were not reconciled on a timely basis. The receivables during the period were overstated as a result of current year rejected claims. Adjustments to audit year unpaid claims were necessary. Prior year unpaid claims over a year old were indeed written-off accordingly. Consequently, the monthly reporting of revenue and receivables were not accurately presented and analyses of rejected claims were not effectuated in a timely manner. Criteria: Internal controls and procedures should be in place to provide that dates and units of service are appropriate and accurately reflect the service provided; that all rejected claims be investigated and submitted on a timely basis; that prior year rejected claims be recorded to bad debt expense; and that current year claims deemed to be uncollectible and rejected by the State be removed from revenue and receivables on a timely basis (both from the general ledger and the subsidiary ledger). Further, a schedule should be maintained specifically identifying all bad debts written off during the year. Effect: Receivables remaining from a prior period were indeed written off during the period. However, current year revenue and receivables required adjustments for billings determined to be uncollectible subsequent to year end, thus overstating the revenue for Board review during the fiscal year. Context: Cash collections were recorded within the subsidiary system by client and accounts receivable by client were identified. The general ledger did not reflect on a timely basis the status of receivables and corresponding revenue with changes resulting from rejected claims. The rejected claims should be adjusted through revenue during the year and the evaluation performed on a more timely basis. Questioned Cost: None Recommendation: We recommend that rejected claims should be analyzed regularly and resubmitted as applicable on a timely basis?within two months of the original rejection. If found to be ineligible, such claims should be removed from revenue and receivable as soon as identified on both the subsidiary ledger and the accounting general ledger. We further recommend that specific listings be maintained of all uncollectible accounts (those either rejected by the Commonwealth for payment or those over one year old).
Show full finding ▾Hide full finding ▴Condition: Accounts receivable and corresponding revenue were not reconciled on a timely basis. The receivables during the period were overstated as a result of current year rejected claims. Adjustments to audit year unpaid claims were necessary. Prior year unpaid claims over a year old were indeed written-off accordingly. Consequently, the monthly reporting of revenue and receivables were not accurately presented and analyses of rejected claims were not effectuated in a timely manner. Criteria: Internal controls and procedures should be in place to provide that dates and units of service are appropriate and accurately reflect the service provided; that all rejected claims be investigated and submitted on a timely basis; that prior year rejected claims be recorded to bad debt expense; and that current year claims deemed to be uncollectible and rejected by the State be removed from revenue and receivables on a timely basis (both from the general ledger and the subsidiary ledger). Further, a schedule should be maintained specifically identifying all bad debts written off during the year. Effect: Receivables remaining from a prior period were indeed written off during the period. However, current year revenue and receivables required adjustments for billings determined to be uncollectible subsequent to year end, thus overstating the revenue for Board review during the fiscal year. Context: Cash collections were recorded within the subsidiary system by client and accounts receivable by client were identified. The general ledger did not reflect on a timely basis the status of receivables and corresponding revenue with changes resulting from rejected claims. The rejected claims should be adjusted through revenue during the year and the evaluation performed on a more timely basis. Questioned Cost: None Recommendation: We recommend that rejected claims should be analyzed regularly and resubmitted as applicable on a timely basis?within two months of the original rejection. If found to be ineligible, such claims should be removed from revenue and receivable as soon as identified on both the subsidiary ledger and the accounting general ledger. We further recommend that specific listings be maintained of all uncollectible accounts (those either rejected by the Commonwealth for payment or those over one year old).
Condition: Adjustments for current year unpaid claims were necessary at year end. Consequently, the monthly reporting of revenue and receivables were not accurately presented and analyses of rejected claims were not effectuated in a timely manner. Management Response: We concur with the finding. We are continuing to review and improve existing processes. We have instituted procedures to review rejected claims as they are identified and correct and resubmit allowable claims within a timely basis. Further, we have intensified training for case managers to ensure appropriate billing submissions and avoid duplications and incorrect dating of claims. In addition, we are establishing procedures to ensure the appropriate recordation on a timely basis within the accounting system and making concerted efforts to ensure that the subsidiary billing system is reconciled with accounting system including the reporting of uncollectibles.
2018-001
In home visits were not conducted in some cases as required. Further, client files were not always current with requisite documentation. Criteria: Internal controls and procedures should be in place to ensure that requisite in home visits are performed on a regular basis. Further, supervisors should ensure that all case workers? files have current information and are complete. Effect: Files were incomplete and certain clients did not have the required caseworker visitations Context: Certain compliance requirements were not met Questioned Cost: None Recommendation: We recommend that supervisors establish checklists and time lines to ensure caseworkers obtain the necessary documentation on a timely basis and that ?tickler files? be established to ensure home visitations are performed timely.
Show full finding ▾Hide full finding ▴Condition: In home visits were not conducted in some cases as required. Further, client files were not always current with requisite documentation. Criteria: Internal controls and procedures should be in place to ensure that requisite in home visits are performed on a regular basis. Further, supervisors should ensure that all case workers? files have current information and are complete. Effect: Files were incomplete and certain clients did not have the required caseworker visitations Context: Certain compliance requirements were not met Questioned Cost: None Recommendation: We recommend that supervisors establish checklists and time lines to ensure caseworkers obtain the necessary documentation on a timely basis and that ?tickler files? be established to ensure home visitations are performed timely.
Condition: In home visitations were not conducted as required. Documentation in client files was incomplete in several cases. Management Response: We concur with the finding. We are continuing to monitor procedures and time lines to ensure that the in home visitations as required are conducted on a timely basis. Further supervisors are reviewing requirements with caseworkers and establishing checklists to further ensure required documentation is maintained on all clients
FAC accepted this audit on November 29, 2018 — management decision was due May 29, 2019.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴GSA_MIGRATION
GSA_MIGRATION
2017-001
GSA_MIGRATION
Show full finding ▾Hide full finding ▴FAC accepted this audit on January 17, 2018 — management decision was due July 17, 2018.
FAC accepted this audit on November 29, 2018 — management decision was due May 29, 2019.
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