To United States Department of Health and Human Services
Heartland Community Health Center respectfully submits the following corrective action plan for the year ended April 30, 2023.
CohnReznick, LLP 350 Church Street
Hartford, CT 06103
Audit Period: April 30, 2023
The findings from the April 3...
To United States Department of Health and Human Services
Heartland Community Health Center respectfully submits the following corrective action plan for the year ended April 30, 2023.
CohnReznick, LLP 350 Church Street
Hartford, CT 06103
Audit Period: April 30, 2023
The findings from the April 30, 2023 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule.
Federal Awards Findings:
Finding 2023.001 - Sliding Fee Scale Discount
Recommendation
The Organization 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
• Monthly Audits
o The Front Office Coordinators at each location will routinely audit sliding fee verification on a monthly basis to verify that information has been captured and recorded correctly and all proof of income documentation is received. These monthly audits will be adopted as standard protocol and procedure for front office operations, effective January 2024.
Any findings through the audit process will be reported to the COO. At least five patien.t charts will be audited monthly.
o In addition, the billing manager will also review audit findings or summaries to ensure adequate adjustment to patient accounts to correlate with the patient's eligibility status.
• Staff Training
o Although Heartland has offered periodic sliding fee scale procedure training, administration will be scheduling additional training with a focus on required documentation and proper set up of sliding fee discounts.
o Health Center Practice Administrator will review and implement and update standard operating procedure for sliding fee scale verification.
o Employees will receive a copy of the sliding fee scale policy and sign that they have read the material.
o Front office employees at all locations will complete a sliding fee schedule competency check-off sheet that will be reviewed by the Front Office Coordinators and billing manager.
If there are any question regarding this plan, please e-mail Regina Oxford at roxford@heartlandhealth.org.
Sincerely,