Finding 1177961 (2023-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2026-03-11

AI Summary

  • Core Issue: The Center is not documenting eligibility for the sliding fee program, leading to incorrect discount calculations.
  • Impacted Requirements: Discounts are either over or under applied, resulting in significant questioned costs totaling $106,486.
  • Recommended Follow-Up: Implement better documentation practices and regular audits to ensure accurate discount calculations and timely corrections.

Finding Text

During our review of siding fee discounts, we noted the Center is not properly documenting eligibility for participation in the sliding fee program. We noted the majority of samples we selected for testing; the sliding fee discounts applied were not properly calculated. Due to the errors in the calculation for the discounts, the discounts are either over or under applied to the patient’s bill and management was not able to prevent or detect and correct the discounts on a timely basis. The amount of known questioned costs is $369 and likely questioned costs is $106,486.

Corrective Action Plan

We have reviewed the sliding fee calculations calculated by the system and have implemented internal control procedures to ensure the discount fees are calculated and applied correctly. Implementation date: June 16, 2025

Categories

Eligibility

Other Findings in this Audit

  • 1177959 2023-001
    Material Weakness Repeat
  • 1177960 2023-002
    Material Weakness Repeat
  • 1177962 2023-002
    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) $2.91M
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $517,286
84.287 TWENTY-FIRST CENTURY COMMUNITY LEARNING CENTERS $350,660
84.002 ADULT EDUCATION - BASIC GRANTS TO STATES $304,368
93.011 NATIONAL ORGANIZATIONS FOR STATE AND LOCAL OFFICIALS $185,161
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $160,500
17.259 WIOA YOUTH ACTIVITIES $159,664
93.566 REFUGEE AND ENTRANT ASSISTANCE STATE/REPLACEMENT DESIGNEE ADMINISTERED PROGRAMS $156,586
93.940 HIV PREVENTION ACTIVITIES HEALTH DEPARTMENT BASED $115,100
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $110,139
93.939 HIV PREVENTION ACTIVITIES NON-GOVERNMENTAL ORGANIZATION BASED $99,996
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $94,234
10.561 STATE ADMINISTRATIVE MATCHING GRANTS FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM $77,388
97.010 CITIZENSHIP EDUCATION AND TRAINING $74,143
14.231 EMERGENCY SOLUTIONS GRANT PROGRAM $53,145
84.425 EDUCATION STABILIZATION FUND $23,641
10.569 EMERGENCY FOOD ASSISTANCE PROGRAM (FOOD COMMODITIES) $19,185
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $16,446
93.431 NETWORKING2SAVE”: CDC’S NATIONAL NETWORK APPROACH TO PREVENTING AND CONTROLLING TOBACCO-RELATED CANCERS IN SPECIAL POPULATIONS $15,000
93.558 TEMPORARY ASSISTANCE FOR NEEDY FAMILIES $11,759
93.185 IMMUNIZATION RESEARCH, DEMONSTRATION, PUBLIC INFORMATION AND EDUCATION TRAINING AND CLINICAL SKILLS IMPROVEMENT PROJECTS $10,000
16.016 CULTURALLY AND LINGUISTICALLY SPECIFIC SERVICES PROGRAM $1,000