Finding Text
Criteria: The Health Center Program Cluster requires Amistad Community Health Center, Inc. to perform a financial assessment on consumers in order to place them on a sliding fee scale. The sliding fee scale must be based on the current Federal Poverty Guidelines. Condition: Forty (40) consumer files were tested for proper placement on the sliding fee scale. During the test it was noted that two (2) consumers were placed on an incorrect sliding fee scale due to calculation errors contrary to Amistad Community Health Center Inc.'s policy. The sliding fee schedule is used to determine eligibility for consumer discounts adjusted on the basis of the consumer's ability to pay. This schedule is based on the most recent Federal Poverty Guidelines. Questioned Costs: None Cause: Controls over placement of consumers on the sliding fee scale necessary for financial assessment of consumers are not operating effectively. Effect: Amistad Community Health Center Inc. may be subject to a decrease in Federal funding or a discontinuation of certain Federal grant programs, if deemed appropriate, from incorrect placement of consumers on the sliding fee scale. Recommendation: Amistad Community Health Center Inc. should review and modify the policies, procedures and training surrounding and regarding the sliding fee scale calculation and placement. View of Responsible Officials: See management's corrective action plan.