Rural Health Care

Program Integrity

BCAP

The primary purpose of audits is to ensure compliance with Federal Communications Commission (FCC) rules and program requirements (the Rules) and to assist in program compliance. Many of the audits are randomly selected, and the selection process is designed to provide a wide variety of entities with regard to applicant size and geographic location. Selection for an audit is not necessarily an indication that USAC believes problems exist.

Beneficiary and service provider audits may be performed by USAC’s internal audit staff, the FCC Office of Inspector General, offices of other federal agencies, or a firm under contract to USAC or the FCC. Note: Please feel free to contact the USAC Internal Audit Division at (202) 776-0200 if you have any concern as to the proper identity of any individual contacting you regarding an audit.

An announcement letter will be sent detailing the purpose and scope of the audit, identifying the personnel who will be performing the audit, making a request for pertinent data, and stating the date upon which the data is due. Typically a beneficiary will be contacted by USAC two to three weeks prior to the start of an audit to assure that the appropriate personnel and documentation will be available. The anticipated duration of an audit can vary depending on the quantity, size, and dollar value of the applications involved.

How USAC Conducts Its Audits

USAC obtains documentation to support the:

  • Health Care Provider (HCP) eligibility
  • Competitive bidding process
  • Payment of non-discounted portion/ Reimbursement
  • Amounts invoiced to the Rural Health Care Program
  • Delivery or installation of eligible products and services

To prepare for an audit, you should have some documentation readily available for the auditors.

Audit Reporting

A USAC audit may identify conditions that are categorized as an audit finding or an "other matter." An audit finding is a condition that shows evidence of noncompliance with FCC regulations and orders set forth primarily in 47 C.F.R., as well as other program requirements (collectively, the Rules). An "other matter" is a condition that does not necessarily constitute a Rule violation, but warrants the attention of the auditee and USAC management. The audit findings and "other matters" will contain background information, the audit step performed, the condition noted, and the basis for the condition noted. After the audit is completed, an exit conference will be held with the auditee to review the results of the audit and the next steps of the process.

The auditee will be given an opportunity to provide a response to the audit findings and "other matters" (if any) within five business days – unless advised otherwise by the auditor. USAC management will review the auditee's response, and will prepare a response to address the conditions and note corrective actions as necessary.

Both the auditee and USAC management responses will be incorporated into the draft report and submitted to the USAC Board of Directors to be deemed final. The USAC Board of Directors may request USAC management to reassess any aspect of the report prior to the report becoming final. Once finalized, both the auditee and the FCC will receive copies of the audit report. The final report may be made available to the public upon request.

Common Audit Findings
  • Applicants fail to maintain adequate support for competitive bidding requirements
  • Applicants fail to notify USAC that supported service was not installed/used for the entire funding year
  • No evidence that non-discounted portion was paid
  • Service providers providing multiple bills for the same billing period
    • Difficult for applicants to ensure they are being billed at the proper rate
    • Difficult for applicants to ensure they are receiving the proper discount
    • No direct correlation to the funding request the bill is covering
  • Service provider bills do not include amounts invoiced to USAC
Steps to Minimize Audit Findings
  • Document, document, document
  • Provide sufficient detail on invoices to include Funding Request Numbers and specific detail of the funded circuit or service
  • Indicate invoice total amount less amounts paid by or to be paid by USAC
  • Indicate payment terms of the net amount of the invoice
  • Separate eligible items from ineligible items - if possible generate separate invoices for services that will be invoiced to USAC

 How can you help?

  • Provide requested documentation in a timely manner
  • Ask questions to ensure that you are providing adequate documentation
  • Maintain documentation for five years for data submitted to USAC

If you have any questions, please contact USAC's Internal Audit Division via email.