Finding 1134601 (2021-003)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2021
Accepted
2025-04-30
Audit: 355035

AI Summary

  • Core Issue: Patients eligible for sliding fee discounts did not receive them or received incorrect amounts.
  • Impacted Requirements: Non-compliance with sliding fee discount policies as outlined in federal regulations.
  • Recommended Follow-up: Train staff on the sliding fee scale policy and implement procedures to ensure proper documentation and adherence.

Finding Text

Federal Assistance Listing Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 2 H80CS04226-16-00 Program Year 2021 Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts – 42 CFR 245(k)(3)(g); 42 CFR section 51c.303(g) and 42 CFR section 56.303(f). Condition – Patients who were eligible for sliding fee discounts under the Organization’s policy were not given sliding fee discounts or received sliding fee discounts inconsistent with the policy. Questioned costs – None Context – A sample of 40 patients were tested out of the total population of 39,665 encounters. The sampling methodology used was not, and was not intended to be, statistically valid. Of the 40 transactions tested, 6 were determined to include errors in the application of the sliding fee discount program and policy. Effect – Improper sliding fee discounts were given and appropriate documentation was not maintained for all sliding fee discounts given. Cause – The Organization did not comply with their sliding fee discount policy. Identification as a repeat finding – Repeat finding of finding 2020-005 Recommendation – The Organization should continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. Procedures should be implemented to ensure that eligible patients receive discounts in accordance with the sliding fee scale. Patient files should include documentation of eligibility to receive sliding fee scale discounts.

Categories

Special Tests & Provisions Eligibility

Other Findings in this Audit

  • 558148 2021-002
    Significant Deficiency Repeat
  • 558149 2021-003
    Significant Deficiency Repeat
  • 558150 2021-002
    Significant Deficiency Repeat
  • 558151 2021-003
    Significant Deficiency Repeat
  • 558152 2021-002
    Significant Deficiency Repeat
  • 558153 2021-003
    Significant Deficiency Repeat
  • 558154 2021-002
    Significant Deficiency Repeat
  • 558155 2021-003
    Significant Deficiency Repeat
  • 558156 2021-002
    Significant Deficiency Repeat
  • 558157 2021-003
    Significant Deficiency Repeat
  • 558158 2021-002
    Significant Deficiency Repeat
  • 558159 2021-003
    Significant Deficiency Repeat
  • 558160 2021-004
    Material Weakness
  • 1134590 2021-002
    Significant Deficiency Repeat
  • 1134591 2021-003
    Significant Deficiency Repeat
  • 1134592 2021-002
    Significant Deficiency Repeat
  • 1134593 2021-003
    Significant Deficiency Repeat
  • 1134594 2021-002
    Significant Deficiency Repeat
  • 1134595 2021-003
    Significant Deficiency Repeat
  • 1134596 2021-002
    Significant Deficiency Repeat
  • 1134597 2021-003
    Significant Deficiency Repeat
  • 1134598 2021-002
    Significant Deficiency Repeat
  • 1134599 2021-003
    Significant Deficiency Repeat
  • 1134600 2021-002
    Significant Deficiency Repeat
  • 1134602 2021-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Grants for New and Expanded Services Under the Health Center Program $2.29M
93.498 Provider Relief Fund and American Rescue Plan (arp) Rural Distribution $1.57M
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $660,721
93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $38,362
93.526 Grants for Capital Development in Health Centers $10,872