Finding 1229577 (2025-008)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-09-11
Audit: 410860
Organization: Family Health Centers, Inc. (SC)
Auditor: TERRY HORNE CPA

AI Summary

  • Core Issue: Health centers failed to apply and document sliding fee discounts correctly, impacting patient billing based on ability to pay.
  • Impacted Requirements: Compliance with Uniform Guidance and internal policies for sliding fee discounts was not met, leading to incorrect discounts for eligible patients.
  • Recommended Follow-Up: Train staff on proper documentation and discount application; implement regular supervisory reviews to ensure compliance.

Finding Text

Material Weakness Finding: 2025-008 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. - 93.224 and 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health centers that receive funding under the Health Center Program Cluster must prepare and apply a sliding fee discount so that the amounts owed for health center services by eligible patients are discounted based on the patient’s ability to pay. During compliance testing, it was determined that the Organization did not obtain and properly document all necessary elements required by the Organization’s policy and that incorrect sliding fee discounts were applied to certain patient accounts. Cause: There were deficiencies in internal controls over the Organization’s sliding fee program. Effect: Proper documentation was unavailable to substantiate that discounts were properly applied to patient accounts, and incorrect discounts were applied to certain patient accounts. Questioned Costs: None Context/Sampling: For 8 of 48 patients selected for testing, incorrect discounts were provided. Three patients received an incorrect discount, three patients who qualified for discounts didn’t receive a discount, and two patients received a discount who did not qualify for a discount. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: Yes Recommendation: It is recommended that employees are properly trained to document and apply the sliding fee discounts in accordance with the Organization’s sliding fee policy. It is also recommended that sliding fee discounts are reviewed by a supervisor on a periodic basis to ensure compliance with the sliding fee scale. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Ernest J. Stan Wardlaw, CEO Anticipated Date of Completion: September 30, 2026

Corrective Action Plan

In Finding 2025-008, it was reported that the Organization did not properly apply sliding fee discounts for certain patients with visits to the Organization during the year ended December 31, 2025. In response to Finding 2025-008, Management recognizes the importance of complying with sliding fee guidelines. The Patient Services Manager has trained all Patient Services Representatives on the sliding fee; performance improvement plans have been developed on employees with errors. Currently the manager has assigned a team to review all sliding fee applications with the goal of 100% reviewed by the end of 2026. Sliding fee applications with errors are returned for correction and communication to the patient. The manager will continue reviewing the sliding fee process in the team's monthly meeting.

Categories

Special Tests & Provisions Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1229564 2025-005
    Material Weakness Repeat
  • 1229565 2025-005
    Material Weakness Repeat
  • 1229566 2025-005
    Material Weakness Repeat
  • 1229567 2025-005
    Material Weakness Repeat
  • 1229568 2025-006
    Material Weakness Repeat
  • 1229569 2025-006
    Material Weakness Repeat
  • 1229570 2025-006
    Material Weakness Repeat
  • 1229571 2025-006
    Material Weakness Repeat
  • 1229572 2025-007
    Material Weakness Repeat
  • 1229573 2025-007
    Material Weakness Repeat
  • 1229574 2025-007
    Material Weakness Repeat
  • 1229575 2025-008
    Material Weakness Repeat
  • 1229576 2025-008
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.359 NURSE EDUCATION, PRACTICE QUALITY AND RETENTION GRANTS $1.05M
93.527 AFFORDABLE CARE ACT (ACA) GRANTS FOR NEW AND EXPANDED SERVICES UNDER THE HEALTH CENTER PROGRAM $318,364
10.175 FARMERS MARKET AND LOCAL FOOD PROMOTION PROGRAM (B) $95,408
93.224 CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, AND PUBLIC HOUSING PRIMARY CARE) $75,584
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES_PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $24,575