Finding 366 (2022-004)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-10-17

AI Summary

  • Core Issue: Health centers failed to maintain documentation for sliding fee discounts, leading to incorrect poverty level assignments for patients.
  • Impacted Requirements: Compliance with Federal Poverty Guidelines and proper application of sliding fee discounts were not met.
  • Recommended Follow-up: Implement a checklist for patient applications, ensure independent review of eligibility, and retain all necessary documentation.

Finding Text

Criteria and Condition: Health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. The adjustments extended to the patients are based on Federal Poverty Guidelines that take into consideration the annual income earned by the individuals and families. There were no documents maintained to support the sliding fee discounts applied to four patient accounts. As a result, there is no way to verify if the discount applied was representative of the patients’ poverty levels. Lastly, four patients were assigned the incorrect poverty level resulting in services not being discounted properly. Questioned Costs: None Cause: Existing internal controls over compliance are not effective at ensuring that sliding fee discount applications for patients are retained on file or ensuring that patient eligibility for sliding fee discounts are accurately determined. Effect: Of the forty patients reviewed that had received sliding fee discounts, eight compliance findings were noted for the year ended June 30, 2022. Recommendations: We recommend that management implement a checklist to ensure that all information required to fill out a patient’s sliding fee discount application is obtained, that the determination of a patient’s eligibility for a sliding fee discount is independently reviewed and approved by a supervisor, and that a patient’s application is properly retained. Views of Responsible Officials and Planned Corrective Actions: Management is taking steps to improve the internal controls over compliance over the sliding fee discount.

Corrective Action Plan

Since taking over the financial management of ELFHCC in December 2022, sliding fee schedule policy has been updated and training has been implemented and ongoing to assure accurate sliding fee discounts are appropriately distributed onto a patients account. Check lists of what is required from each patient applying for a sliding fee discount have been prepared and staff trained on how to enter the proof requirement into ELFHCC’s patient record.

Categories

Eligibility Internal Control / Segregation of Duties

Other Findings in this Audit

  • 363 2022-001
    Material Weakness Repeat
  • 364 2022-002
    Material Weakness Repeat
  • 365 2022-003
    Material Weakness Repeat
  • 576805 2022-001
    Material Weakness Repeat
  • 576806 2022-002
    Material Weakness Repeat
  • 576807 2022-003
    Material Weakness Repeat
  • 576808 2022-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $2.33M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $607,701