Federal Award Findings and Questioned Costs - Major Federal Awards
Finding 2023-001 Material Weakness and Nonmaterial Noncompliance in Internal Control over application of sliding fee test.
2023-001 Recommendation: The Organization should ensure that controls and procedures are implemented to ensure the sliding fee application and assessed rate is reviewed by a secondary reviewer prior to billing.
Action Taken: We concur with the recommendation and will establish procedures to ensure supporting documentation substantiating all patient household income and the number of residents who reside within their household is obtained and verified before services are provided. This process will indude the following:
• Additional training for appropriate staff
• Individual assessment of staff accuracy for training purposes
• Reassignment of SFDS application audit function
• Quarterly reporting to the Board of Directors on SFDS activities
Date of Completion: April 30,2024
If the U.S. Department of Health and Human Services has questions regarding this plan, please call Valerie Butt, Chief Financial Officer, at 757-618-0476.
Sincerely,
Valerie Butt
Chief Financial Officer.