Audit 56604

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Reference Number Findings 2022-001 Finding Type - Significant Deficiency CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Program Cluster Repeat Finding - No Questioned Costs - None Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Condition - The Organization has a sliding fee discount policy that is based on income and family size; however it was not followed for all patients during the year. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 3 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 3 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.