Finding 1236582 (2024-001)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2026-09-25

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 potential financial discrepancies.
  • Recommended Follow-Up: Management should implement a review process to ensure accurate documentation and calculation of sliding fee discounts.

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 likely questioned costs is $212,179.

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, 2026_

Categories

Eligibility

Other Findings in this Audit

  • 1236583 2024-002
    Material Weakness Repeat
  • 1236584 2024-003
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 HEALTH CENTER PROGRAM $4.08M
93.959 BLOCK GRANTS FOR PREVENTION AND TREATMENT OF SUBSTANCE ABUSE $160,500
93.332 COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES $133,128
93.217 FAMILY PLANNING SERVICES $71,223
93.243 SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROJECTS OF REGIONAL AND NATIONAL SIGNIFICANCE $63,519
84.287 TWENTY-FIRST CENTURY COMMUNITY LEARNING CENTERS $55,895
93.939 HIV PREVENTION ACTIVITIES NON-GOVERNMENTAL ORGANIZATION BASED $40,780
14.218 COMMUNITY DEVELOPMENT BLOCK GRANTS/ENTITLEMENT GRANTS $14,180
14.239 HOME INVESTMENT PARTNERSHIPS PROGRAM $5,385
93.431 NETWORKING2SAVE€: CDC€™S NATIONAL NETWORK APPROACH TO PREVENTING AND CONTROLLING TOBACCO-RELATED CANCERS IN SPECIAL POPULATIONS $5,000