Finding 1225273 (2025-002)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-07-31
Audit: 408320
Organization: Windrose Health Network, INC (IN)
Auditor: BLUE & CO LLC

AI Summary

  • Core Issue: Nine out of 40 sliding fee discounts did not comply with the written policy.
  • Impacted Requirements: Discounts were applied without proper documentation within the 30-day grace period, and one had a calculation error.
  • Recommended Follow-Up: Review and adjust patient accounts to ensure compliance with documentation requirements and correct any calculation errors.

Finding Text

During testing of 40 sliding fee discounts, the auditor noted nine instances where the application of the discount did not fully align with the written policy. One instance involved a calculation error. In the other eight cases, documentation was not obtained within the 30-day grace period; however, the charges were not adjusted back to the patient account. Consequently, these accounts remained at the discounted rate despite the lack of updated documentation.

Corrective Action Plan

Management concurs and will refine the sliding fee process. Additional training will be provided to ensure staff are equipped to monitor documentation timelines and apply discounts accordingly, and policy revisions will be considered to reflect current operational practices. Internal reviews will be conducted periodically to support consistent application across WindRose.

Categories

No categories assigned yet.

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $524,026
10.780 COMMUNITY FACILITY LOANS AND GRANTS $298,862
93.527 GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $283,932
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $14,418