Finding 1166825 (2025-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2025-12-29

AI Summary

  • Core Issue: Five sliding fee scale applications were not documented for patients receiving discounts, leading to unsupported eligibility determinations.
  • Impacted Requirements: The Clinic must maintain proper documentation for all patients receiving sliding fee discounts to ensure compliance with eligibility criteria.
  • Recommended Follow-Up: Train the responsible staff member on documentation requirements and implement monitoring to prevent future issues.

Finding Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES 2025-001 Other Matter: Special Tests and Provisions: Sliding Fee Scale Applications Condition: During our audit, we selected a sample of 25 records for patients treated during the audit period to determine whether patient charges were appropriately adjusted based on income and family size by applying the health center’s sliding fee discount schedule. During our procedures, five sliding fee scale applications were not documented for patients receiving the sliding fee discount. Criteria: The Clinic is required to establish systems for determining and documenting sliding fee eligibility determination. Sliding fee scale applications serve as the key source documentation for documenting patients’ income and family size for eligibility determination. Sliding fee scale applications should be completed and maintained for all patients receiving the sliding fee scale discount. Cause: The five undocumented sliding fee scale applications were related to one staff member. The staff member did not follow up with the patients in a timely manner to document the sliding fee scale applications. Effect: Sliding fee discounts for the referenced five patients with undocumented sliding fee scale applications were not supported by adequate documentation to determine if the patients were eligible to receive the sliding fee scale discount. Recommendations: The staff member responsible for the undocumented sliding fee scale applications should be informed and trained on the Clinic’s documentation requirements for the sliding fee program. The Clinic should monitor the staff member to ensure the condition has been resolved. View of Responsible Officials and Planned Corrective Actions: Management agrees with the other matter. Corrective action has been taken. On October 23, 2025, Management informed the applicable staff member regarding the undocumented sliding fee scale applications identified during the audit. The staff member acknowledged the undocumented sliding fee scale applications. The staff member has been retrained on the sliding fee scale documentation requirements. Management will supervise and monitor the staff member to ensure the other matter has been resolved.

Corrective Action Plan

View of Responsible Officials and Planned Corrective Actions: Management agrees with the other matter. Corrective action has been taken. On October 23, 2025, Management informed the applicable staff member regarding the undocumented sliding fee scale applications identified during the audit. The staff member acknowledged the undocumented sliding fee scale applications. The staff member has been retrained on the sliding fee scale documentation requirements. Management will supervise and monitor the staff member to ensure the other matter has been resolved.

Categories

Special Tests & Provisions Eligibility

Other Findings in this Audit

  • 1166826 2025-002
    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) $944,708
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $2,813