Finding 1118420 (2024-003)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-03-31

AI Summary

  • Answer: One sliding fee discount lacked the required application on file, and four discounts were incorrectly adjusted.
  • Trend: This indicates potential issues with documentation and accuracy in the Practice Management System.
  • List: Follow up by ensuring all applications are filed and reviewing the PMS for proper adjustments to prevent future undercharges.

Finding Text

We randomly selected forty sliding fee discounts to test for compliance. One of the forty sliding fee selections did not have a sliding fee scale application on file at the date of service. Also, there were four instances in which the sliding fee discount was improperly adjusted in the Practice Management System (“PMS”), resulting in a net undercharge of $45.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 541977 2024-002
    Material Weakness
  • 541978 2024-003
    Significant Deficiency
  • 1118419 2024-002
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $8.35M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.48M
10.557 Wic Special Supplemental Nutrition Program for Women, Infants, and Children $983,972
93.137 Community Programs to Improve Minority Health $318,669
93.526 Grants for Capital Development in Health Centers $154,004
93.527 Grants for New and Expanded Services Under the Health Center Program $102,373
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $9,561
93.778 Medical Assistance Program $3,432