Section Ill- Federal Award Findings and Questioned Costs
Health Center Program Cluster, Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID - 19 Health Center Program (Community Health Centers, Migrant Health...
Section Ill- Federal Award Findings and Questioned Costs
Health Center Program Cluster, Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), COVID - 19 Health Center Program (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care), Grants for New and Expanded Services under the Health Center Program and COVID-19 Grants for New and Expanded Services under the Health Center Program
Federal Assistance Listing Numbers: 93.224 and 93.527
Item 2023-001 - Special Tests
Recommendation
The Center should establish a system of internal controls to ensure that all sliding fee discounts are properly calculated based on family size and income.
Repeat Finding Yes
Action Taken
In 2023, IHC implemented each IHC site auditing five accounts per front office staff twice per month that will be reviewed by the Office Manager, Practice Manager, and Director of Operations, with any sliding issues being addressed with the respective front office staff with re education. As this has not resolved all the sliding fee issues, IHC will be implementing two-person verification for sliding fees provided for any eligible IHC patient. The following process will be followed for EVERY patient that presents with Proof of Income (POI).
A. When a patient presents to the clinic and provides POI upon checking in or completing an Intake appointment, the Front Office Staff (FOS) will make a copy of the documents provided.
B. The FOS will then calculate the income based on the POI provided, showing the work on the copy.
C. The FOS will initial the document where the calculations were completed.
D. They will then get a second person to verify the calculations were completed correctly and initial the document.
E. The initial FOS employee will enter the information into the SFS section of the pt's chart.
F. There will be a FOS SFS Two-Person Verification Log to track who verified each patients POI.
G. The FOS SFS Two-Person Verification Log will be kept in the LMT Teams file for each site.
If the Cognizant or Oversight Agency for Audit has questions regarding this plan, please call: Mr. Tracy Nagel, CFO at (317) 576-1335.
Sincerely yours,
Mr. Tracy Nagel, Chief Financial Officer