Audit 360633

FY End
2024-12-31
Total Expended
$4.16M
Findings
20
Programs
3
Organization: Health Access Network, Inc. (ME)
Year: 2024 Accepted: 2025-06-30

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
568938 2024-101 Significant Deficiency - P
568939 2024-102 Significant Deficiency - P
568940 2024-101 Significant Deficiency - P
568941 2024-102 Significant Deficiency - P
568942 2024-101 Significant Deficiency - P
568943 2024-102 Significant Deficiency - P
568944 2024-101 Significant Deficiency - P
568945 2024-102 Significant Deficiency - P
568946 2024-101 Significant Deficiency - P
568947 2024-102 Significant Deficiency - P
1145380 2024-101 Significant Deficiency - P
1145381 2024-102 Significant Deficiency - P
1145382 2024-101 Significant Deficiency - P
1145383 2024-102 Significant Deficiency - P
1145384 2024-101 Significant Deficiency - P
1145385 2024-102 Significant Deficiency - P
1145386 2024-101 Significant Deficiency - P
1145387 2024-102 Significant Deficiency - P
1145388 2024-101 Significant Deficiency - P
1145389 2024-102 Significant Deficiency - P

Contacts

Name Title Type
FY23JMARNUJ5 Wanda Kimball Auditee
2077946700 Julie Paquette Auditor
No contacts on file

Notes to SEFA

Accounting Policies: Expenditures for direct and indirect costs are recognized as incurred using the accrual method of accounting and the cost accounting principles contained in the Uniform Guidance, as applicable. Under these cost principles, certain types of expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: Both Rate Explanation: If necessary, the Organization will elect to use the 10% de minimis indirect cost rate as allowed under the Uniform Guidance.

Finding Details

Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.
Sliding Fee Discount - Federal Agency: U.S. Department of Health and Human Services. Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, it was identified that the sliding fee discount was not accurately applied to some patients. Context: Some patients did not receive the proper discount based on the approved sliding fee schedule. Cause: The billing system utilized by Health Access Network Inc. does not properly or consistently apply the sliding fee discount to some patients, therefore, requiring the Health Access Network, Inc. billing team to review and manually adjust patient bills. Effect: As a result of the condition, there were multiple instances where patients received incorrect medical bills. Recommendation: We recommend that management enhance control procedures to ensure that a review is performed prior to sending patient bills. View of Responsible Parities: The Organization will implement a process to ensure all medical bills will be reviewed so that they contain the correct sliding fee discounts before being sent to the patient.
Sliding Fee Application ‑ Federal Agency: U.S. Department of Health and Human Services Award Name: Community Health Centers. Program Year: January 1, 2024 – December 31, 2024. Assistance Listing Number: 93.244/93.527. Repeat Finding: This is not a repeat finding. Criteria: The health center must prepare and apply a sliding fee discount schedule in accordance with the patient's sliding fee application so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay. Condition: During compliance testing, for some patients it was identified that the sliding fee applications were not appropriately maintained within their patient files. Context: Approved sliding fee applications were not retained within some patients' medical records. Cause: Health Access Network, Inc. transitioned all physical sliding fee applications to eClinicalWorks (electronic medical record system) during 2024. During the transition, there were instances where files were lost in the upload due to a lack of adequate controls over the conversion. Effect: As a result of the condition, there were multiple instances where patient files did not contain a sliding fee application. Recommendation: The Organization should implement procedures and controls to ensure patient files are complete and data was adequately uploaded to eClinicalWorks. View of Responsible Parities: The Organization will implement a process to ensure all sliding fee applications are properly retained within the patient's file.