Finding 1172869 (2024-005)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-02-09

AI Summary

  • Core Issue: Ineffective internal controls over sliding fee revenues led to discounts being applied despite expired applications.
  • Impacted Requirements: Health centers must ensure sliding fee discounts are only applied based on valid eligibility criteria, particularly for incomes at or below 200% of the Federal Poverty Guidelines.
  • Recommended Follow-Up: Management should enhance procedures for monitoring sliding fee applications to prevent unauthorized discounts and ensure compliance.

Finding Text

Finding Number 2024-005 – Ineffective Internal Controls over Sliding Fee Revenues Federal Program Name Health Center Program Project NO. H80CS00680-21-00, H80CS00680-22-00 CFDA # 93.224/93.527 Federal Agency Department of Health and Human Services Criteria The Corporation is responsible for establishing and maintaining an internal control system over sliding fee and clinic service eligibility requirements. Specifically, health centers must prepare and apply a sliding fee discount schedule (SFDS) so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay as follows: • Sliding fee discounts are applied to fees for health center services provided to all individuals and families with annual incomes at or below 200 percent of the Federal Poverty Guidelines (FPG); • A full discount is applied to fees for health center services provided to individuals and families with annual incomes at or below 100 percent of the FPG, or the health center applies only a nominal charge; • Fees for health center services are discounted based on graduations in family size and income for individuals and families with incomes above 100 and at or below 200 percent of the FPG; and • No sliding fee discount is applied to fees for health center services provided to individuals and families within 200 percent or more of the FPG. Condition During the compliance testing of the Uniform Guidance “Special Tests and Provisions – Sliding Fee Applications” requirements, we noted the following exception: • One (1) out of thirteen (13) sampled had an expired application but the system continued to apply the slide fee discount. Questioned Costs: Not applicable. Context The population of patients receiving slide adjustments is approximately 75 patients, 130 encounters and gross charges of approximately $17,000. The sample size represented 13 encounters $2,455 in charges of which 1 encounter ($102 in charges) was found to have compliance issues noted above. Cause The billing system continues to apply the discount until manually changed. The staff missed removing the discount when a new application was not provided by the patient. Effect Lack of effective internal control procedures could result in unintentional or intentional errors that may not be detected in a timely manner by employees in the normal course of performing their assigned duties. Recommendation Management should take steps to ensure procedures over sliding fee applications are properly designed and operating effectively. Management’s Response Management agrees with the finding. The charge in the system outlined above had not yet been paid so management removed the slide discount to show full charges due by the patient.

Corrective Action Plan

CHES! has implemented a new process in entering the sliding fee applications in the Electronic Health Records system (Nextgen) to ensure compliance with the program requirements of the sliding fee program. The new process includes a thru date for all sliding fee applications at which time an alert will pop-up when the file is accessed that the sliding fee application has expired.

Categories

Special Tests & Provisions Eligibility Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1172868 2024-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $3.46M
93.224 HEALTH CENTER PROGRAM (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $1.58M
93.323 EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES (ELC) $220,713
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $120,431
93.898 CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS $50,615
93.217 FAMILY PLANNING SERVICES $49,052
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $44,691
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $17,879
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $11,373