To Health Resources and Services Administration
Care Alliance Health Center, Inc. respectfully submits the following corrective action plan for the year ended October 31, 2023.
CohnReznick LLP 350 Church Street
Hartford, CT 06103
Audit Period: October 31, 2023
The findings from the October 31, 202...
To Health Resources and Services Administration
Care Alliance Health Center, Inc. respectfully submits the following corrective action plan for the year ended October 31, 2023.
CohnReznick LLP 350 Church Street
Hartford, CT 06103
Audit Period: October 31, 2023
The findings from the October 31, 2023, schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the number assigned in the schedule.
Federal Award Findings:
Finding 2023.001 - Special Tests and Provisions - Sliding Fee Scale Documentation 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
We will invest the time and resources into improving all areas related to the Sliding Fee Scale. We will implement the following steps to our process to ensure all federal guidelines and requirements are met.
1. Documented Process: Design and implement an internal control process to ensure sliding fee discounts are accurately calculated based on family size and income.
2. Documented Procedures: Establish clear procedures and guidelines for front desk staff to follow when determining discounts, including appropriate documentation requirements, eligibility criteria, and fee structure. These procedures will be aligned with our written policy to ensure consistency and accuracy in discount calculations.
3. Training and Education: Provide training to front desk staff members responsible for determining eligibility and applying sliding fee discounts to ensure they understand the process.
4. Regular Reviews: Implement regular reviews and monthly audits to verify that all discounts are properly supported and documented. Quarterly reviews will be conducted to verify compliance, identify areas for improvement, and evaluate the effectiveness of the sliding scale fee program to ensure it meets our patients' needs and complies with all federal guidelines.
Responsible Parties:
1. The Controller and revenue cycle staff will develop the written procedure.
2. The Clinical Support Supervisor and revenue cycle staff will overseE3 the training.
3. The Revenue Cycle Manager_will monitor adherence to the procedure, conduct regular monthly audits, and report results to the Controller.
4. The Controller will conduct quarterly documentation reviews of the internal audit results.
Timeline:
1. Procedure draft completion: Completed
2. Review and approval by senior management: July 24, 2024
3. Initial staff training session: July 25, 2024
4. Follow-up training sessions: As needed
5. Monthly compliance audits: Starting September 1, 2024