Finding 1061775 (2024-001)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2024-08-28
Audit: 318078
Auditor: Terry Horne CPA

AI Summary

  • Core Issue: The Organization failed to properly document and apply sliding fee discounts for eligible patients, leading to incorrect discounts on certain accounts.
  • Impacted Requirements: Compliance with Uniform Guidance and 42 CFR, which mandate accurate application of sliding fee discounts based on patients' ability to pay.
  • Recommended Follow-Up: Train staff on documentation and application of discounts, and implement periodic supervisory reviews to ensure compliance with the sliding fee policy.

Finding Text

Finding: 2024-001 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health centers that receive funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by eligible patients are discounted based on the patient’s ability to pay. During compliance testing, it was determined that the Organization did not obtain and properly document all necessary elements required by the Organization’s policy and that incorrect sliding fee discounts were applied to certain patient accounts. Cause: There were deficiencies in internal controls over the Organization’s sliding fee program. For certain patient accounts that were tested as part of the audit, the Organization was unable to substantiate that proper documentation was obtained and that proper sliding fee discounts were applied to patient accounts in accordance with the Organization’s sliding fee scale and that incorrect sliding fee discounts were applied to certain patient accounts. Effect: Proper documentation was unavailable to substantiate that discounts were properly applied to patient accounts, and incorrect discounts were applied to certain patient accounts. Questioned Costs: None Context/Sampling: For 6 of 48 patients selected for testing, incorrect discounts were provided. One patient selected had no application and five patients received an incorrect discount. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that employees are properly trained to document and apply the sliding fee discounts in accordance with the Organization’s sliding fee policy. It is also recommended that sliding fee discounts are reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Dr. Aretha Powers, CEO Anticipated Date of Completion: September 30, 2024

Categories

Special Tests & Provisions Internal Control / Segregation of Duties

Other Findings in this Audit

  • 485330 2024-001
    Material Weakness
  • 485331 2024-001
    Material Weakness
  • 485332 2024-001
    Material Weakness
  • 485333 2024-001
    Material Weakness
  • 485334 2024-002
    Material Weakness
  • 485335 2024-002
    Material Weakness
  • 485336 2024-002
    Material Weakness
  • 485337 2024-002
    Material Weakness
  • 1061772 2024-001
    Material Weakness
  • 1061773 2024-001
    Material Weakness
  • 1061774 2024-001
    Material Weakness
  • 1061776 2024-002
    Material Weakness
  • 1061777 2024-002
    Material Weakness
  • 1061778 2024-002
    Material Weakness
  • 1061779 2024-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $164,040
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $85,816
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $47,112
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $17,137
93.800 Organized Approaches to Increase Colorectal Cancer Screening $15,000
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $10,000