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.