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ARC awards a Consolidated Technical Assistance grant to the West Virginia Development Office (WVDO) annually to provide funding for technical assistance and outreach to local economic development organizations through the main Street, ON TRAC, and Growing Healthy Communities programs.
Maryland's Department of Health and Mental Hygiene (State agency) did not always comply with Federal and State requirements when it claimed costs for communicable disease care services. Of the 124 claim lines that we sampled, 49 complied with Federal and State requirements; however, 75 did not. On the basis of our sample results, we estimate that the State agency claimed at least $16 million (Federal share) in unallowable costs. The State agency claimed these unallowable costs because it did not have sufficient internal controls to ensure that nursing facilities were correctly claiming communicable disease care services.
The OIG's audit of the NARA) Refile Processes in Federal Records Centers assessed the effectiveness and adequacy of management controls in place for the refile processes at selected FRCs.
During the audit, our independent public accountant, CliftonLarsonAllen LLP, identified certain matters related to PBGC's internal control and operations that while significant were not of sufficient magnitude to impact the financial statement opinion and were not included in the report on internal control dated November 13, 2015 (AUD-2016-3/ FA-15-108-3). This management letter summarizes CliftonLarsonAllen's findings and recommendations regarding these matters and includes the status of prior years' management letter recommendations. PBGC management agreed with the recommendations and provided planned corrective actions and estimated completion dates.
Freeman Hospital (the Hospital) (operating in Joplin, Missouri) complied with Medicare billing requirements for 180 of the 225 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 45 claims, resulting in overpayments of $311,000. Specifically, 42 inpatient claims had billing errors, resulting in overpayments of $304,000, and 3 outpatient claims had billing errors, resulting in overpayments of $7,000. These errors occurred primarily because the Hospital did not have adequate controls to prevent the incorrect billing of Medicare claims within the selected risk areas that contained errors.