2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.
2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.
2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.
2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.
2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.
2022-001 Reporting Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement L, Reporting, requires the reporting of cash draws, among other things, to be included in the Uniform Data Systems (UDS) reports filed with awarding agencies. Our testing of the December 31, 2021, UDS report noted a difference in the amount of actual cash draws and the amount reported for the covered period. Condition Amounts reported as draw downs in the calendar year end UDS report were significantly different from actual cash received and drawn down. Context This finding appears to be isolated. Cause The Organization?s internal controls over compliance were not adequate to prevent or detect errors in amounts reported in the UDS report. Effect The amounts reported on the Organization?s UDS report did not properly report cash receipts through PMS draws. Questioned Costs None identified Recommendation We recommend the Organization implement procedures to ensure reports filed with awarding agencies accurately reflect the appropriate activity for the period covered by the report. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will add an additional layer of review of reports prior to submission. Management has made every effort to fully staff the finance department to provide a proper level of review to ensure reports accurately reflect the appropriate activity covered by the report filed with awarding agencies.
2022-002 Application of Sliding Fee Discount Program Information Federal Organization U.S Department of Health and Human Services Assistance Listing Numbers 93.224 & 93.527 Health Center Program Cluster Award Numbers H80CS26583, H8FCS41666 Criteria [X] Compliance Finding [ ] Significant Deficiency [ ] Material Weakness Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, Subpart F, Compliance Supplement, Part 4, Compliance Requirement N, Special Tests and Provisions states, ?Health Centers 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 patients ability to pay.? Condition During our testing of sliding fee discounts for health center patients qualifying for reduced charge visits, we identified two incidents in which the incorrect sliding fee was applied. Context This finding appears to be an isolated incident. A sample size of 25 patients included two which did not have the correct sliding fee applied. Cause The Organization did not follow its policies and procedures set in place to ensure the sliding fee schedule discount is correctly determined and applied to patient accounts. Effect Patients may have been granted the incorrect sliding fee discount. Questioned Costs None identified Recommendation We recommend continued effort in training personnel to be properly trained on applying the appropriate sliding fee discount based on the Organization?s approved policy and in compliance with the OMB Compliance Supplement requirements. An appropriate level of review should be conducted on patient accounts to ensure proper document retention, application of sliding fee discounts, and third-party insurance billing. Views of responsible officials and planned corrective action CrescentCare agrees with the finding and will train and retrain staff on correct implementation of the sliding fee scale. Management supports continued training of staff on applying the appropriate sliding fee discount.