Finding Text
Grant Program: Department of Health and Human Services Health Centers Cluster – Assistance Listing # 93.224/93.527
Condition: As a result of our audit procedures over the UDS report, it was identified that the number of visits reported for physicians was overstated, while those for Nurse Practitioners (NPs) were understated. This discrepancy was due to a system error that incorrectly classified NPs as physicians.
Criteria: Accurate reporting of service utilization by specific provider types is crucial for compliance with Department of Health and Human Services guidelines.
Effect: Misclassification could lead to non-compliance with grant reporting requirements, potentially affecting the Clinic’s funding and accuracy of statistical data used for healthcare planning and resource allocation.
Context: An analysis of visit data revealed that a system coding error led to incorrect provider type attribution where several NPs were recorded as physicians.
Cause: Review of the report detected the error but it was not corrected in the final submission.
Recommendation: We recommend an immediate review and correction of the errors noted in the accuracy report be completed prior to submission.
Management Response: See Corrective Action Plan.