FAC Explorer

Finding 1204868 (2025-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-03-30
Audit: 396494
Organization: Kedren Community Health Center, Inc. (CA)
Auditor: M R GRANT CPA AN ACCOUNTANCY CORPORATION

AI Summary

  • Core Issue: 10 service dates for 6 uninsured patients were incorrectly billed at higher amounts instead of the required sliding scale fee of $10.00.
  • Impacted Requirements: Billing practices must adhere to the established sliding fee discount schedule for uninsured patients.
  • Recommended Follow-Up: Review and adjust the billing for the affected patients to ensure compliance with the sliding scale policy.

Finding Text

WE TESTED 152 SLIDING FEE DISCOUNT SCHEDULE SERVICE DATES REPRESENTING 15 PATIENTS WITHOUT INSURANCE. WE FOUND THAT 10 OF THESE SERVICE DATES FOR 6 PATIENTS WERE BILED WITH VARIOUS AMOUNTS FROM $20.04 TO $282.49. THESE PATIENTS SHOULD HAVE BEEN BILLED AT THE SLIDING SCALE A, WHICH IS $10.00.

Corrective Action Plan

KEDREN'S PRIMARY CARE CLINICAL MANAGEMENT HAS IMPLEMENTED SEVERAL STEPS TO ENSURE THAT THE PATIENTS ARE BILLED PROPERLY IN ACCORDANCE WITH THE SLIDING FEE SCHEDULE. THESE CHANGES WILL BE IMPLEMENTED AND MONITORED

Categories

No categories assigned yet.

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $1.25M
93.526 HEALTH CENTER PROGRAM $136,195
93.598 HEALTH CENTER PROGRAM $41,138
93.527 HEALTH CENTER PROGRAM $14,364