Finding 1166508 (2025-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2025-12-23
Audit: 377539
Organization: Family Healthcare Center (ND)
Auditor: BRADY MARTZ LLC

AI Summary

  • Core Issue: A patient was charged the full fee instead of a discounted rate due to software issues in the new patient management system.
  • Impacted Requirements: Compliance with federal guidelines requiring discounted fees for eligible individuals and families between 100% and 200% of the federal poverty level.
  • Recommended Follow-Up: Conduct a review of all potentially affected visits and make necessary manual corrections; management is aware and plans to enhance procedures to prevent future errors.

Finding Text

Federal Programs – AL 93.224 and 93.527 – Health Center Cluster Criteria – Section 42 USC 254b(K)(3)(E), (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR section 56.303(e), (f), and (g) requires that health centers provide discounted fees for individuals and families with incomes above 100% and at or below 200% of the federal poverty guidelines. Condition – For the year ended June 30, 2025, we selected a sample of 40 visits with adjustments related to the sliding fee scale policies established by Family Healthcare. We identified one visit where the patient had correctly been identified as eligible for a full discount down to the minimum copay within the billing system, however, the charges were not slid, and the patient was charged the full fee for the visit. Cause – In the month immediately following the conversion to the new patient management system, there were software issues identified that caused patient visits to be sent directly to self-pay responsibility before billing staff had the chance to evaluate or apply the appropriate sliding fee payor types in the system. This caused some balances to be labeled as self-pay when the guarantor had qualified and been correctly identified as eligible for sliding fee adjustments. Effect – Patient service revenue may not be appropriately adjusted in accordance with the policies Family Healthcare has established for charity care under the health center cluster requirements listed above. Repeat Finding – This is not a repeat finding. Recommendation – A review of all visits that may have similar errors should be performed and manual corrections made. During the year the billing staff did perform a detailed review of similar transactions and corrected those identified. View of Responsible Officials – Management recognizes the deficiency and plans to implement additional procedures to address the errors noted.

Corrective Action Plan

Person responsible for corrective action – Kyle Dorow, Chief Financial Officer Corrective action planned – Shortly after the conversion to the new patient management system, this error was identified as a systemic issue. The Organization implemented policies and procedures to prevent the system from continuing to process these charges incorrectly. In addition, a review of similar transactions and visits was performed to catch any errors that had occurred and these were corrected over the course of the fiscal year. Planned implementation date of corrective action – Fiscal year 2025

Categories

No categories assigned yet.

Other Findings in this Audit

  • 1166506 2025-001
    Material Weakness Repeat
  • 1166507 2025-001
    Material Weakness Repeat

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) $2.92M
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $139,870
93.270 VIRAL HEPATITIS PREVENTION AND CONTROL $39,866
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $31,040
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $4,537