1. Enhanced Training: EVMC will conduct mandatory training for all billing and front-desk staff focusing on accurate annual income calculations, verifying income documentation, and ensuring proper alignment with the active sliding fee discount schedule. Additional focused training will be conducted whenever a new or updated sliding fee scale is implemented. 2. Monitoring & Quality Audits: EVMC management will establish a formal monthly monitoring and sampling process. The Administrative Assistant and Clinical Manager will audit a representative sample of sliding fee applications and patient billing records. Sampling frequency and sample sizes will be increased immediately following any updates or transitions to new sliding fee schedules to ensure early detection of calculation errors. 3. Individual Accountability & Feedback: Results of monthly audits will be reviewed to identify specific error trends or individual training needs, and corrective retraining will be documented and tracked for continuous improvement.