QAPI Program Utilization_Manual

SUMMARY OF FINANCIAL REVIEWS Year: Summary of Quarter: 9 I: Jan-Mar 9 II: Apr-Jun 9 III: Jul-Sep 9 IV: Oct-Dec Budget review: (3 years Budget in place) 9 Yearly external review letter from accountant on file Revenue is within projected limits: 9 Yes 9 No *If no, specify bellow. _________________________________________________________________________________ _________________________________________________________________________________ Expenses are within projected limits: 9 Yes 9 No *If no, specify bellow. _________________________________________________________________________________ _________________________________________________________________________________ Billing review: Random review of billing complies with agency policy. 9 Yes 9 No *If no, specify bellow. _________________________________________________________________________________ _________________________________________________________________________________ Random review of accounts receivable monitoring complies with agency policy. 9 Yes 9 No *If no, specify bellow. _________________________________________________________________________________ _________________________________________________________________________________ Bank statements: Statements for the three months of the quarter have been balanced with no discrepancies. 9 Yes 9 No *If no, specify bellow. _________________________________________________________________________________ _________________________________________________________________________________ Document specifies issues for any other financial area or contact with the accountant: Comments:________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Summary prepared by:______________________________________Date:_________________ Approved by Administrator:__________________________________Date:______________ 120