FAC Explorer

Audit 53955

FY End
2022-09-30
Total Expended
$18.39M
Findings
10
Programs
6
Organization: Gaston Family Health Services, INC (NC)
Year: 2022 Accepted: 2023-06-29
Auditor: McCannon Rogers Driscoll and Associates LLP

Organization Exclusion Status:

Findings

ID Ref Severity Repeat Requirement
62492 2022-002 Significant Deficiency Yes N
62493 2022-002 Significant Deficiency Yes N
62494 2022-002 Significant Deficiency Yes N
62495 2022-002 Significant Deficiency Yes N
62496 2022-002 Significant Deficiency Yes N
638934 2022-002 Significant Deficiency Yes N
638935 2022-002 Significant Deficiency Yes N
638936 2022-002 Significant Deficiency Yes N
638937 2022-002 Significant Deficiency Yes N
638938 2022-002 Significant Deficiency Yes N

Programs

ALN Program Spent Major Findings
32.006 Covid-19 Telehealth Program $983,524 Yes 0
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $341,270 Yes 1
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $151,445 - 0
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $113,162 Yes 1
93.800 Organized Approaches to Increase Colorectal Cancer Screening $19,975 - 0
93.919 Cooperative Agreements for State-Based Comprehensive Breast and Cervical Cancer Early Detection Programs $8,556 - 0

Contacts

Name Title Type
MVHYMWK1XMK8 Jack Gossett Auditee
7048741909 Trey Albright 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 to reimbursement. De Minimis Rate Used: N Rate Explanation: The auditee did not use the de minimis cost rate.

Finding Details

Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.
Finding 2022-002
Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.