Milwaukee Health Services, Inc. ("MHSI") submits the following corrective action plan for all identified findings and questioned costs for the year ending January 31, 2023.
Finding 2023-002: Sliding Fee: External auditors reviewed 40 sliding fee charges to test if the amount charged, was calculated properly based on the patients’ income level and in compliance with Milwaukee Health Services’ sliding fee policy. External auditors noted that 2 of the charges were not properly determined or information was not retained to determine if the charge was properly determined.
Corrective Action: HRSA performed a site visit regarding the 330 Grant in May 2023. During that site visit, the Sliding Fee Discount program requirement was classified as “met”. The audited timeframe for this fiscal year was during the period when we transitioned, on June 21, 2023, from the Centricity Electronic Health Record (EHR) to the OCHIN Epic EHR. Of the 40 Sliding Fee charges tested, there were 2 failures. Both failures were from charges selected in the Centricity EHR. No fails were identified in the OCHIN Epic EHR, which has built in safeguards to assist in Sliding Fee calculation accuracy. Responsible current staff have been re-trained, and new staff are being trained as part of the on-boarding process. 100% of Sliding Fee accounts will be audited from February 1, 2023, and forward. Any required corrections will be made immediately. Any impacted accounts will be appropriately reprocessed when identified. All forms related to Sliding Fee determination will be scanned into the OCHIN Epic system and will be reviewed for quantity and quality, prior to disposing of any paper copies.
Person Responsible for Corrective Action: Chief Financial Officer (Laurie Yake), Revenue Cycle Director (Leeann Stoiber)
Anticipated Timing for Completion of Corrective Action: November 30, 2023.