Finding 2023.003 - Special Tests and Provisions - Sliding Fee Scale
Documentation
Recommendation
The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income.
Action Taken
I will work directl...
Finding 2023.003 - Special Tests and Provisions - Sliding Fee Scale
Documentation
Recommendation
The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated and supported based on family size and income.
Action Taken
I will work directly with the Director of Clinical Operations, Kei Wee, to conduct a comprehensive review of the Center's existing sliding fee scale policy to ensure alignment with federal guidelines and best practices, clarifying documentation requirements, including acceptable forms of income verification and definition of family size. The Clinical Operations Director, Kei Wee, will develop and implement a step-by-step standard operating procedure (SOP) for staff to consistently assess and apply sliding fee discounts. The SOP will include clear instructions for verifying documentation, calculating discount eligibility, and recording determinations in the patient's record. The Clinical Operations Director, Kei Wee's management team, will conduct monthly spot audits of a sample of sliding fee files to verify correct application and documentation. The managers will report the findings to management for corrective follow-up and provide training for registration/front-desk staff and billing personnel on the updated policy and procedures as needed.