FAC Explorer

Audit 34847

FY End
2022-05-31
Total Expended
$1.69M
Findings
4
Programs
3
Organization: Green River Medical Center, Inc. (UT)
Year: 2022 Accepted: 2022-10-10
Auditor: Hafen Buckner Everett & Graff PC

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
33572 2022-001 Significant Deficiency - N
33573 2022-001 Significant Deficiency - N
610014 2022-001 Significant Deficiency - N
610015 2022-001 Significant Deficiency - N

Programs

ALN Program Spent Major Findings
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.21M Yes 1
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $469,954 Yes 1
93.539 Pphf Capacity Building Assistance to Strengthen Public Health Immunization Infrastructure and Performance Financed in Part by Prevention and Public Health Funds $14,900 - 0

Contacts

Name Title Type
QL1QNGMQB6S5 Cameron Willford Auditee
4066963469 H Wayne Everett Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Negative amounts, if any, shown on the Schedule represent adjustments or credits made in the normal course of business to amounts reported as expenditures in prior year. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate.

Finding Details

Finding 2022-001
CONDITION: DURING THE YEAR ENDED MAY 31, 2022, THE CLINIC?S CONTROLS OVER INCOME VERIFICATIONS DID NOT CONSISTENTLY RESULT IN EVIDENCE SUPPORTING THE PATIENT?S INCOME. IN A SAMPLE OF 40 PATIENT ENCOUNTERS, TWO INSTANCES WERE IDENTIFIED IN WHICH DOCUMENTATION WAS INSUFFICIENT OR MISSING TO SUPPORT THE PATIENT?S INCOME AND ASSESSED SLIDING FEE. CRITERIA: THE CLINIC SHOULD BE ABLE TO SUPPORT THE ACCURATE DETERMINATION OF A PATIENT?S SLIDING FEE AND ASSESSED CHARGES. CAUSE: THE CLINIC WAS UNABLE TO SUPPORT ELIGIBILITY OF PATIENT?S SLIDE DUE ITS INABILITY TO LOCATE APPROPRIATE DOCUMENTS AND/OR INCOME CALCULATIONS WERE INCORRECT RESULTING IN PATIENT BEING CATEGORIZED TO THE WRONG SLIDING FEE.EFFECT: FOR 2 OF 40 PATIENT ENCOUNTERS SAMPLED, THE CLINIC WAS UNABLE TO SUPPORT WHETHER THE SLIDING FEES CHARGED TO PATIENTS WERE ACCURATE SINCE CRUCIAL DOCUMENTS WERE MISSING, AND/OR WAS INSUFFICIENT. RECOMMENDATION: THE CLINIC SHOULD IMPLEMENT POLICIES AND PROCEDURES TO ENSURE THAT DOCUMENTATION OF INCOME IS MAINTAINED FOR EACH PATIENT AND THAT THE DOCUMENTATION AGREES TO THE PATIENT?S ASSESSED SLIDING FEE.
Finding 2022-001
CONDITION: DURING THE YEAR ENDED MAY 31, 2022, THE CLINIC?S CONTROLS OVER INCOME VERIFICATIONS DID NOT CONSISTENTLY RESULT IN EVIDENCE SUPPORTING THE PATIENT?S INCOME. IN A SAMPLE OF 40 PATIENT ENCOUNTERS, TWO INSTANCES WERE IDENTIFIED IN WHICH DOCUMENTATION WAS INSUFFICIENT OR MISSING TO SUPPORT THE PATIENT?S INCOME AND ASSESSED SLIDING FEE. CRITERIA: THE CLINIC SHOULD BE ABLE TO SUPPORT THE ACCURATE DETERMINATION OF A PATIENT?S SLIDING FEE AND ASSESSED CHARGES. CAUSE: THE CLINIC WAS UNABLE TO SUPPORT ELIGIBILITY OF PATIENT?S SLIDE DUE ITS INABILITY TO LOCATE APPROPRIATE DOCUMENTS AND/OR INCOME CALCULATIONS WERE INCORRECT RESULTING IN PATIENT BEING CATEGORIZED TO THE WRONG SLIDING FEE.EFFECT: FOR 2 OF 40 PATIENT ENCOUNTERS SAMPLED, THE CLINIC WAS UNABLE TO SUPPORT WHETHER THE SLIDING FEES CHARGED TO PATIENTS WERE ACCURATE SINCE CRUCIAL DOCUMENTS WERE MISSING, AND/OR WAS INSUFFICIENT. RECOMMENDATION: THE CLINIC SHOULD IMPLEMENT POLICIES AND PROCEDURES TO ENSURE THAT DOCUMENTATION OF INCOME IS MAINTAINED FOR EACH PATIENT AND THAT THE DOCUMENTATION AGREES TO THE PATIENT?S ASSESSED SLIDING FEE.
Finding 2022-001
CONDITION: DURING THE YEAR ENDED MAY 31, 2022, THE CLINIC?S CONTROLS OVER INCOME VERIFICATIONS DID NOT CONSISTENTLY RESULT IN EVIDENCE SUPPORTING THE PATIENT?S INCOME. IN A SAMPLE OF 40 PATIENT ENCOUNTERS, TWO INSTANCES WERE IDENTIFIED IN WHICH DOCUMENTATION WAS INSUFFICIENT OR MISSING TO SUPPORT THE PATIENT?S INCOME AND ASSESSED SLIDING FEE. CRITERIA: THE CLINIC SHOULD BE ABLE TO SUPPORT THE ACCURATE DETERMINATION OF A PATIENT?S SLIDING FEE AND ASSESSED CHARGES. CAUSE: THE CLINIC WAS UNABLE TO SUPPORT ELIGIBILITY OF PATIENT?S SLIDE DUE ITS INABILITY TO LOCATE APPROPRIATE DOCUMENTS AND/OR INCOME CALCULATIONS WERE INCORRECT RESULTING IN PATIENT BEING CATEGORIZED TO THE WRONG SLIDING FEE.EFFECT: FOR 2 OF 40 PATIENT ENCOUNTERS SAMPLED, THE CLINIC WAS UNABLE TO SUPPORT WHETHER THE SLIDING FEES CHARGED TO PATIENTS WERE ACCURATE SINCE CRUCIAL DOCUMENTS WERE MISSING, AND/OR WAS INSUFFICIENT. RECOMMENDATION: THE CLINIC SHOULD IMPLEMENT POLICIES AND PROCEDURES TO ENSURE THAT DOCUMENTATION OF INCOME IS MAINTAINED FOR EACH PATIENT AND THAT THE DOCUMENTATION AGREES TO THE PATIENT?S ASSESSED SLIDING FEE.
Finding 2022-001
CONDITION: DURING THE YEAR ENDED MAY 31, 2022, THE CLINIC?S CONTROLS OVER INCOME VERIFICATIONS DID NOT CONSISTENTLY RESULT IN EVIDENCE SUPPORTING THE PATIENT?S INCOME. IN A SAMPLE OF 40 PATIENT ENCOUNTERS, TWO INSTANCES WERE IDENTIFIED IN WHICH DOCUMENTATION WAS INSUFFICIENT OR MISSING TO SUPPORT THE PATIENT?S INCOME AND ASSESSED SLIDING FEE. CRITERIA: THE CLINIC SHOULD BE ABLE TO SUPPORT THE ACCURATE DETERMINATION OF A PATIENT?S SLIDING FEE AND ASSESSED CHARGES. CAUSE: THE CLINIC WAS UNABLE TO SUPPORT ELIGIBILITY OF PATIENT?S SLIDE DUE ITS INABILITY TO LOCATE APPROPRIATE DOCUMENTS AND/OR INCOME CALCULATIONS WERE INCORRECT RESULTING IN PATIENT BEING CATEGORIZED TO THE WRONG SLIDING FEE.EFFECT: FOR 2 OF 40 PATIENT ENCOUNTERS SAMPLED, THE CLINIC WAS UNABLE TO SUPPORT WHETHER THE SLIDING FEES CHARGED TO PATIENTS WERE ACCURATE SINCE CRUCIAL DOCUMENTS WERE MISSING, AND/OR WAS INSUFFICIENT. RECOMMENDATION: THE CLINIC SHOULD IMPLEMENT POLICIES AND PROCEDURES TO ENSURE THAT DOCUMENTATION OF INCOME IS MAINTAINED FOR EACH PATIENT AND THAT THE DOCUMENTATION AGREES TO THE PATIENT?S ASSESSED SLIDING FEE.