FAC Explorer

Finding 22431 (2022-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-01-30
Audit: 20088
Organization: Teche Action Board (LA)
Auditor: Hawthorn Waymouth & Carroll LLP

AI Summary

  • Answer: Some patients did not receive the correct sliding fee discounts based on their ability to pay.
  • Trend: Out of 60 sampled patients, 19 were affected, indicating a significant issue with discount application.
  • List: Follow up by reviewing the discount process, identifying the cause of errors, and ensuring compliance to prevent financial inaccuracies.

Finding Text

Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted or discounted based on the patient?s ability to pay. Condition: Some patients did not receive the proper sliding fee discount. Cause: Unknown. Questioned Costs: Less than < $25,000. Context: Of the 60 patients sampled, 19 patients did not receive the proper adjustment or discount. Effect: Improper adjustments or discounts could lead to inaccurate financial statements as well as improper patient billings.

Corrective Action Plan

Corrective Action Plan 2 CFR Sec 200.511(c) May 31, 2022. Finding Number: 2022-001. Planned Corrective Action: In September 2022, Teche identified this as an area of concern and has implemented additional controls designed to ensure that the proper sliding fee discount categories are applied by the Patient Service Representatives and that the correct sliding fee discount is applied by the Billing Department. Anticipated Completion Date: January 31, 2023. Responsible Contact Person: Nikina Vilcan, CFO.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 598873 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $4.09M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.49M
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $213,019