Finding 1061183 (2023-001)

- Repeat Finding
Requirement
E
Questioned Costs
-
Year
2023
Accepted
2024-08-21

AI Summary

  • Core Issue: Errors in income calculations were found in 11 out of 75 applications tested, impacting billing accuracy.
  • Impacted Requirements: GMC must ensure proper billing for federally supplemented patient services, with inconsistent procedures noted.
  • Recommended Follow-Up: Implement a review process for recalculating fees by site leaders and provide ongoing training for front desk staff.

Finding Text

75 applications at 3 locations were tested. Eleven errors were found, 7 incorrect calculations of income, fees would not change and 4 incorrect calculations where fees would change. GMC has responsibility of ensuring proper billing of patient services that are supplemented by the federal government. Findings had various effects depending on the issues noted above. In most instances where fees would change, more income would be due to Goshen from patients. Applicagtion calculations were not checked by another employee. Procedures and standards inconsistently followed. Review process of the sliding fee scale application should include a recalculation by the site leader. Front desk employees should receive continuing education classes. Management concurs.

Categories

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Other Findings in this Audit

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $12.56M
10.766 Community Facilities Loans and Grants $257,744
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $225,733