FAC Explorer

Finding 29594 (2022-002)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 25050
Organization: Centerplace Health, Inc. (FL)
Auditor: James Moore & CO P L

AI Summary

  • Core Issue: The Organization couldn't provide necessary documentation for sliding fee discounts for two patients.
  • Impacted Requirements: There should be proper records of sliding fee applications and financial documents to ensure accurate patient charge adjustments.
  • Recommended Follow-Up: Enhance training and communication for finance staff to improve compliance with sliding fee processes.

Finding Text

Finding 2022-02 - U.S. Department of Human Health and Services- Special Tests and Provisions: Sliding Fee Discounts Condition - The Organization was unable to locate appropriate support for the sliding fee placement for two of its patients who received sliding fee discounts. Criteria - The Organization should maintain sliding fee applications and supporting finacial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted. These patient charges are based on income and family size by applying the health center's sliding fee discount schedule. Cause - High turnover in the finance and accounting department as well as inadequate communication and training for the related processes at the Organization. Effect - Auditors were unable to determine if a patient was put on the correct sliding fee schedule and, therefore, given the correct discount. Recommendation - We recommend that the Organization continue to train and develop new personnel on specific processes related to compliance requirements.

Corrective Action Plan

As one patient file was missing their sliding fee application and another was placed on an inappropriate slide based on their provided income, CPH has offered the following recommended management changes: The Sliding Fee Scale Discount Program was reviewed in-depth with the Patient Service Representatives (PSR?s), providing further information, training, and documents, on the internal process for assessing patients and qualifying patients for the Sliding Fee Scale Discount Program up to and including, the required documents and how to place patients on the correct Sliding Fee Scale. With the staff properly trained, we do not foresee further issues or findings concerning our sliding fee discounts. Anticipated Completion Date: Implemented as of 04/30/2023

Categories

Special Tests & Provisions

Other Findings in this Audit

  • 606036 2022-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.31M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $111,333