Finding 1105922 (2024-001)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-03-24
Audit: 347499
Organization: Regenesis Health Care, Inc. (SC)
Auditor: Cla

AI Summary

  • Core Issue: Health centers incorrectly applied the sliding fee discount to 4 out of 25 patient accounts, leading to potential billing errors.
  • Impacted Requirements: Compliance with federal guidelines for sliding fee discounts based on patients' ability to pay, specifically using Federal Poverty Guidelines.
  • Recommended Follow-Up: Enhance quality control inspections and provide mandatory biannual training for front desk staff to ensure proper application of discounts and documentation.

Finding Text

Finding 2024-001: Sliding Fee Discount Federal Agency: Department of Health and Human Services Federal Program Name: Health Center Program Cluster Assistance Listing Number: 93.224 Federal Award Identification Number and Year: H8000298 2023/2024 Award Period: 3/1/2023 – 2/28/2024, 3/1/2024 – 2/28/2025 Type of Finding: • Material Weakness in Internal Control over Compliance Criteria or specific requirement: Health centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted based on the patients ability to pay. Condition: Heath Centers receiving this funding must prepare and apply a sliding fee discount so that the amounts owed for health centers services by eligible patients are adjusted (discounted) based on the patient’s ability to pay using the Federal Poverty Guidelines (FPG). The Centers are required to apply a full discount to fees for services to individuals with income at or below 100% FPG and prorated for incomes between 100% and 200% of the FPG. Questioned costs: None Context: In our sample of 25 patient account, sliding fee scale was applied incorrectly to 4 patients and proper documentation of applications was not maintained. Cause: In our sample of twenty-five (25) patient accounts, the Organization applied the wrong sliding fee scale to four (4) patients and proper documentation of sliding fee applications was not maintained as there were not proper controls in place. Effect: The Organization could charge an incorrect fee or apply a discount in error. Repeat Finding: No Recommendation: CLA recommends that the Organization continue to perform quality control inspections of sliding fee documentation and eligibility determinations to improve results. Views of responsible officials: Management agrees with the finding. HRSA Health Center Program Compliance requirements for the Sliding Fee Discount Program will be ongoing. The quality management and compliance department will increase frequency of internal audits. Front desk staff and their immediate supervisors will be provided with feedback regarding the results. Plans for required performance improvement, including the provision of additional training, will be developed and monitored for completion. Instances of repeated deficiencies will result in corrective action. All front desk staff will be required to participate in mandatory biannual training pertaining to the Sliding Fee Discount Program. The revenue cycle manager is communicating directly with the supervisors of the front desk staff whenever any errors are found in the revenue cycle department to ensure appropriate action is taken.

Categories

Eligibility Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 529480 2024-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $249,780
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated Exchanges $40,714
93.217 Family Planning Services $15,000