Finding 1088960 (2024-002)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2024-12-02

AI Summary

  • Core Issue: Health Centers are not applying sliding fee discounts correctly, leading to improper discounts for patients based on their financial status.
  • Impacted Requirements: Compliance with Uniform Guidance and 42 CFR regulations regarding sliding fee discounts is not being met.
  • Recommended Follow-Up: Train staff on discount application accuracy and implement supervisory reviews of sliding fee applications to ensure compliance.

Finding Text

Finding: 2024-002 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 receiving 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 the following errors were noted: • 9 patients were given discounts when applications were incomplete or expired • 3 patients who qualified for discounts were given an incorrect discount • 1 patient with income greater than 200% poverty was given a discount • 1 patient with income less than 200% poverty was not given a discount Cause: There were deficiencies in internal controls designed to ensure that proper sliding fee discounts were applied to patient accounts in accordance with the Organization’s sliding fee scale. The sliding fee scale file was not properly utilized in the application of discounts provided to certain patients. Effect: Discounts were not properly applied to patient accounts. Questioned Costs: None reported. Context/Sampling: For 14 of 48 self-pay patients selected for testing, applications were incomplete or expired or incorrect discounts were given. 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: Yes Recommendation: It is recommended that staff be trained to review sliding fee discounts applied to ensure they are accurate and that proper documentation is obtained. In addition, it is recommended that supervisory level personnel select and review a sample of sliding fee applications and discounts to ensure that staff are properly applying the discounts. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Shantelle Simpson, President & CEO Anticipated Date of Completion: January 31, 2025

Categories

Special Tests & Provisions Internal Control / Segregation of Duties

Other Findings in this Audit

  • 512518 2024-002
    Material Weakness Repeat
  • 512519 2024-002
    Material Weakness Repeat
  • 512520 2024-002
    Material Weakness Repeat
  • 512521 2024-003
    Material Weakness
  • 512522 2024-003
    Material Weakness
  • 512523 2024-003
    Material Weakness
  • 1088961 2024-002
    Material Weakness Repeat
  • 1088962 2024-002
    Material Weakness Repeat
  • 1088963 2024-003
    Material Weakness
  • 1088964 2024-003
    Material Weakness
  • 1088965 2024-003
    Material Weakness

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) $600,557
10.766 Community Facilities Loans and Grants $321,710
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $276,636
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $212,632
93.959 Block Grants for Prevention and Treatment of Substance Abuse $199,355
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $150,960
93.211 Telehealth Programs $25,870