Finding Text
Criteria and Condition: Planned Parenthood of Metropolitan New Jersey (“PPMNJ”) is required to identify a patient’s income and household size classification through a financial assessment. PPMNJ in some instances did not properly identify a patient’s income nor charge the correct fee within the poverty guidelines. Context: A sample of 40 patients who were provided care under the Program was selected for audit testing. For three of those patients selected, the correct patient income was not properly identified or entered into the system. Further, for three other patients, the correct fee was not charged based on the patient income. Effect: Incorrect patient responsibilities were charged and incorrect statistical data related to the financial assessments was supplied to the New Jersey Family Planning League. Questioned Costs: None Auditors’ Recommendation: PPMNJ should ensure that income amounts reported by patients and proper fees are correctly entered into the Agency’s billing system and reported properly to the New Jersey Family Planning League. Views of Responsible Officials: See Corrective Action Plan on page 30.