#2022-001 Timeliness of Reporting; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we noted that both of the annual Federal Financial Reports (FFR) were submitted late. Criteria: The FFR is required to be submitted within the timeframe specified in the award terms and conditions. Effect: Continued non-compliance could result in a loss of funding. Context: During our testing, we found 2 of the 3 annual reports tested were submitted late. Cause: Inadequate internal controls and lack of proper staff training. Recommendation: We recommend that the Center develop and implement a formal process to ensure that all required reports are submitted timely in accordance with the award terms and conditions, despite turnover in certain positions. Management Response: See Corrective Action Plan.
#2022-002 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we found four errors in the application of the sliding fee scale. Criteria: The sliding fee scale discount is based on patient income and demographic information. Controls should be in place to ensure the sliding fee scale is consistently applied for each patient. Effect: Continued non-compliance could result in a loss of funding. Additionally, it could result in inequitable access to healthcare services for patients and expose the Center to reputational risks. Context: During our testing, we found 4 of the 40 patients tested were not billed for the proper slide category based on the 2022 sliding fee scale provided by the Center. No questioned costs were identified. Cause: Inadequate internal controls, lack of proper staff training, and insufficient oversight in the application of the sliding fee scale. Recommendation: We recommend that the Center strengthen their internal controls by regularly monitoring patient eligibility and reviewing claims without insurance prior to mailing bills to ensure proper application of the sliding fee scale. Management Response: See Corrective Action Plan.
#2022-001 Timeliness of Reporting; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we noted that both of the annual Federal Financial Reports (FFR) were submitted late. Criteria: The FFR is required to be submitted within the timeframe specified in the award terms and conditions. Effect: Continued non-compliance could result in a loss of funding. Context: During our testing, we found 2 of the 3 annual reports tested were submitted late. Cause: Inadequate internal controls and lack of proper staff training. Recommendation: We recommend that the Center develop and implement a formal process to ensure that all required reports are submitted timely in accordance with the award terms and conditions, despite turnover in certain positions. Management Response: See Corrective Action Plan.
#2022-002 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we found four errors in the application of the sliding fee scale. Criteria: The sliding fee scale discount is based on patient income and demographic information. Controls should be in place to ensure the sliding fee scale is consistently applied for each patient. Effect: Continued non-compliance could result in a loss of funding. Additionally, it could result in inequitable access to healthcare services for patients and expose the Center to reputational risks. Context: During our testing, we found 4 of the 40 patients tested were not billed for the proper slide category based on the 2022 sliding fee scale provided by the Center. No questioned costs were identified. Cause: Inadequate internal controls, lack of proper staff training, and insufficient oversight in the application of the sliding fee scale. Recommendation: We recommend that the Center strengthen their internal controls by regularly monitoring patient eligibility and reviewing claims without insurance prior to mailing bills to ensure proper application of the sliding fee scale. Management Response: See Corrective Action Plan.
#2022-001 Timeliness of Reporting; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we noted that both of the annual Federal Financial Reports (FFR) were submitted late. Criteria: The FFR is required to be submitted within the timeframe specified in the award terms and conditions. Effect: Continued non-compliance could result in a loss of funding. Context: During our testing, we found 2 of the 3 annual reports tested were submitted late. Cause: Inadequate internal controls and lack of proper staff training. Recommendation: We recommend that the Center develop and implement a formal process to ensure that all required reports are submitted timely in accordance with the award terms and conditions, despite turnover in certain positions. Management Response: See Corrective Action Plan.
#2022-002 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we found four errors in the application of the sliding fee scale. Criteria: The sliding fee scale discount is based on patient income and demographic information. Controls should be in place to ensure the sliding fee scale is consistently applied for each patient. Effect: Continued non-compliance could result in a loss of funding. Additionally, it could result in inequitable access to healthcare services for patients and expose the Center to reputational risks. Context: During our testing, we found 4 of the 40 patients tested were not billed for the proper slide category based on the 2022 sliding fee scale provided by the Center. No questioned costs were identified. Cause: Inadequate internal controls, lack of proper staff training, and insufficient oversight in the application of the sliding fee scale. Recommendation: We recommend that the Center strengthen their internal controls by regularly monitoring patient eligibility and reviewing claims without insurance prior to mailing bills to ensure proper application of the sliding fee scale. Management Response: See Corrective Action Plan.
#2022-001 Timeliness of Reporting; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we noted that both of the annual Federal Financial Reports (FFR) were submitted late. Criteria: The FFR is required to be submitted within the timeframe specified in the award terms and conditions. Effect: Continued non-compliance could result in a loss of funding. Context: During our testing, we found 2 of the 3 annual reports tested were submitted late. Cause: Inadequate internal controls and lack of proper staff training. Recommendation: We recommend that the Center develop and implement a formal process to ensure that all required reports are submitted timely in accordance with the award terms and conditions, despite turnover in certain positions. Management Response: See Corrective Action Plan.
#2022-002 Sliding Fee Scale; AL#: 93.224 and 93.527; Program: Health Center Cluster Condition: As a result of our audit procedures, we found four errors in the application of the sliding fee scale. Criteria: The sliding fee scale discount is based on patient income and demographic information. Controls should be in place to ensure the sliding fee scale is consistently applied for each patient. Effect: Continued non-compliance could result in a loss of funding. Additionally, it could result in inequitable access to healthcare services for patients and expose the Center to reputational risks. Context: During our testing, we found 4 of the 40 patients tested were not billed for the proper slide category based on the 2022 sliding fee scale provided by the Center. No questioned costs were identified. Cause: Inadequate internal controls, lack of proper staff training, and insufficient oversight in the application of the sliding fee scale. Recommendation: We recommend that the Center strengthen their internal controls by regularly monitoring patient eligibility and reviewing claims without insurance prior to mailing bills to ensure proper application of the sliding fee scale. Management Response: See Corrective Action Plan.