Finding 34368 (2022-002)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-06-08

AI Summary

  • Core Issue: Health center staff incorrectly charged at least one eligible patient due to improper application of the sliding fee discount schedule (SFDS).
  • Impacted Requirements: Compliance with 42 CFR sections 51c.303 and 56.303 regarding patient discounts based on ability to pay.
  • Recommended Follow-Up: Provide training for staff on SFDS application and strengthen internal controls for discount approval processes.

Finding Text

Criteria - Health centers must prepare and apply a sliding fee discount schedule ("SFDS") so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient's ability to pay, as outlined in 42 CFR sections 51c.303(e), (f), and (g) and 42 CFR sections 56.303(e), (f), and (g). Condition - The Committee charged at least one eligible patient an incorrect amount in accordance with the SFDS. Cause - The Committee's employees who are responsible for applying the sliding fee discount are not properly trained. Additionally, the Committee experienced turnover in the accounting department and did not follow established internal controls pertaining to the sliding fee discount review and approval process. Effect - Eligible patient(s) were overcharged for health services provided by the Committee based on the SFDS. Questioned Costs - None. Context - There was at least one eligible patient who, based on their annual income and family size, should have had a specified discount applied to their health service charges as outlined on the SFDS. However, an incorrect slide level discount was applied to their account by the Committee?s staff, and therefore, certain patient(s) were overcharged for the services provided by the Committee. Identification as a Repeat Finding - This is a repeat finding. Recommendation - Implement proper training for all health center staff who have the responsibility of applying the sliding fee discounts and charging patients. Additionally, establish and maintain proper controls so that sliding fee discounts applied to eligible patient accounts are properly approved by an appropriate level of the Committee's management. The Committee?s Response - See corrective action plan.

Corrective Action Plan

Recommendation - Implement proper training for all health center staff who have the responsibility of applying the sliding fee discounts and charging patients. Additionally, establish and maintain proper controls so that sliding fee discounts applied to eligible patient accounts are properly approved by an appropriate level of the Committee's management. Action Taken - The Committee?s management acknowledges this matter and has taken action to reimburse affected patient(s). Additionally, the Committee has implemented enhanced training for its employees to mitigate the risk of these errors occurring prospectively.

Categories

Internal Control / Segregation of Duties

Other Findings in this Audit

  • 610810 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $2.70M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $2.15M
93.217 Family Planning_services $72,712
16.541 Part E - Developing, Testing and Demonstrating Promising New Programs $68,602
16.817 Byrne Criminal Justice Innovation Program $40,725
93.914 Hiv Emergency Relief Project Grants $12,892