2025-003—Special Tests and Provisions—Sliding Fee Discount Program Corrective Action: Management concurs with the finding. Management recognizes the importance of timely and accurate application of sliding fee discounts to ensure compliance with approved fee schedules, accurate patient account balances, and proper financial reporting. Management will reinforce adherence to existing policies and procedures, provide staff reeducation, and perform a retrospective review of applicable claims to determine whether similar errors exist. Corrective actions and monitoring activities are outlined below. Review and reissue the Sliding Fee Discount Program policy and procedures to all Patient Service Representatives, and Billing staff. Require staff acknowledgment of understanding. Conduct mandatory staff training on the proper application of sliding fee discounts, including the requirement that discounts and write-offs be posted to patient accounts at the time services are rendered or when eligibility is determined. Perform a retrospective review of all sliding fee discount encounters for the prior 12 months to identify accounts where discounts were collected but corresponding adjustments were not timely posted. Correct identified accounts and document findings. Quantify the prevalence of the error, determine root causes, and report results to executive leadership. Implement a monthly monitoring process that includes a sample review of sliding fee discount accounts to verify that discounts are accurately applied and adjusted on the date of service or in accordance with policy requirements. Report monitoring results quarterly to leadership and take corrective action as needed for any recurring issues identified. Person Responsible: Tammy Collins, Revenue Cycle Director Completion Date: January 31, 2027