Finding 1167032 (2025-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2025-12-30

AI Summary

  • Core Issue: Errors in applying sliding fee discounts were found, with 25 out of 66 cases incorrectly billed based on patient income levels.
  • Impacted Requirements: Health centers must follow a sliding fee discount schedule to adjust fees according to patients' ability to pay, which was not consistently applied.
  • Recommended Follow-Up: Implement a thorough review process for billing inputs, ensuring management signs off on patient applications to confirm accuracy.

Finding Text

Criteria: Health centers that receive funding under ALN 93.224 – Health Center Program, are required to prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay. Condition: During testing of the application of the Network’s slide scale fees, we noticed that 25 out of 66 testing selections applied a fee that was different than the slide for which the patient qualified. Cause: In twenty-one of the twenty-five exceptions, the billing error appeared to be due to misapplication of the slide scale to the patient’s verified income level. The other four exceptions appeared to be due to minor clerical billing errors because the correct slide had been applied in those instances. Possibly contributing to the errors was the fact that 16 of the 66 selections lacked signatures of appropriate levels of the Network’s staff on the patient’s application forms, possibly indicating that a proper review had not been completed. Effect: The pervasiveness and amount of these errors were projected to the entire population resulting in an estimated $20,071 which sliding patients were undercharged. Recommendation: We recommend that the Network implement a more robust review process for information that is input into the billing system. This includes a verifiable review process in which management, or someone assigned by management reviews each case and indicates their review by properly signing the patient’s application form. Auditor’s Conclusion: Because the amount of the error is not material to the major program, this finding does not constitute a material weakness but is a control deficiency that requires attention to strengthen the accuracy of the application of the slide scale fees.

Corrective Action Plan

Client Response: Since the identification of this in August 2025, our Clinical Manager has reviewed and audited every slide fee patient's information on a monthly basis. Additionally, the individual who has applied the majority of the incorrect discounts is no longer with the organization. Since this was also a finding from last year's audit, FY'23-24, as outlined in 2024-4 (pg.28), moving forward, our CFO will be handling the creation of the Slide Fee scale and will work with management and the Consultants to automate the system so errors rarely occur.

Categories

Material Weakness Internal Control / Segregation of Duties

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) $130,613
93.913 GRANTS TO STATES FOR OPERATION OF STATE OFFICES OF RURAL HEALTH $63,555