EIN: 826000428
UEI: GSA_MIGRATION
Audited by: DINGUS ZARECOR & ASSOCIATES PLLC
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 February 2, 2022. 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 August 2, 2022 (1493 days ago).
What is a management decision? →2021?001 Patient Billing Program Information: Federal Agency Department of Health and Human Services CFDA Award Number 93.498 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Under the terms and conditions of the award, the recipient certifies it will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider for patients with presumptive or actual case of COVID-19 from January 31, 2020, through the end of the Public Health Emergency. Condition The Hospital billed several patients for out-of-pocket expenses greater than what the patient would have been required to pay if the care had been provided by an in-network provider. Context This finding appears to be a systemic problem. Cause The Hospital did not have policies or procedures in place surrounding the billing of a presumptive or actual case of COVID-19. Effect The Hospital is out of compliance with the terms and conditions of the award. Recommendation We recommend management implement policies and procedures surrounding the billing of a presumptive or actual case of COVID-19. Views of responsible officials and planned corrective actions The Hospital administration team and billing office understand that not having policies and procedures surrounding billing COVID-19 patients has caused the noncompliance with the terms and conditions of the Provider Relief Fund award requirements. A policy and procedure for addressing COVID-19 billing has been drafted and is awaiting Board approval.
Show full finding ▾Hide full finding ▴2021?001 Patient Billing Program Information: Federal Agency Department of Health and Human Services CFDA Award Number 93.498 Criteria [X] Compliance Finding [ ] Significant Deficiency [X] Material Weakness Under the terms and conditions of the award, the recipient certifies it will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider for patients with presumptive or actual case of COVID-19 from January 31, 2020, through the end of the Public Health Emergency. Condition The Hospital billed several patients for out-of-pocket expenses greater than what the patient would have been required to pay if the care had been provided by an in-network provider. Context This finding appears to be a systemic problem. Cause The Hospital did not have policies or procedures in place surrounding the billing of a presumptive or actual case of COVID-19. Effect The Hospital is out of compliance with the terms and conditions of the award. Recommendation We recommend management implement policies and procedures surrounding the billing of a presumptive or actual case of COVID-19. Views of responsible officials and planned corrective actions The Hospital administration team and billing office understand that not having policies and procedures surrounding billing COVID-19 patients has caused the noncompliance with the terms and conditions of the Provider Relief Fund award requirements. A policy and procedure for addressing COVID-19 billing has been drafted and is awaiting Board approval.
CORRECTIVE ACTION PLAN COVID 19 Billing for Presumptive or Confirmed Cases The following steps will take place to correct the deficiencies found during our annual audit in regards to the billing for patients with presumptive or confirmed cases of COVID 19 so the facility can be considered in compliance with the requirements set forth by the Provider Relief Funds. 1. Billings from the dates of service 1-1-2020 thru 6-30-2021 have already been audited. If there was a charge that needed to be adjusted off, that amount has been adjusted in the January 2022 accounts receivable reports. Any funds due back to patients who were balanced billed have been refunded through our accounts payable system in January 2022. 2. Billings from the dates 7-1-2021 to current will be audited by pulling ad hoc reports by month for any service received that had a COVID diagnosis or a COVD charge item. Each account will be audited and adjustments will be made if necessary. 3. The following diagnosis and charge items will be included in the monthly reports for auditing purposes. a. Diagnosis Code U07.1 b. Testing Charge Codes 2706769, 2798645, 2786769, 2787004, 270035, 2700005,2787005,278700,2787008 c. Vaccine Charge Codes 2521021, 2521022, 2521031, 2521011, 2521012, 2521013,2521001,2521002,2521003,2521004,2591301,2591300. 4. The monthly reports will be completed by March 31, 2022. 5. If the State of Emergency is still ongoing after the March 31, 2022 date, the reports will continue to be audited at month end. Facility Representative/Title - Cindy Howard, CFO.
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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