Community Health and Social Services Center, Inc. respectfully submits the following corrective action plan for the year ended September 30, 2022. The findings from the September 30, 2022, schedule of findings and questioned costs are discussed below. The findings are numbered consistently as assigned in the schedule. Government Auditing Standards Findings: Finding Number: 2022-001, 2021-001, Significant Deficiency and Noncompliance - Sliding Fee. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. In addition, the Center could consider increasing its internal sampling throughout the year to verify sliding fee applications are obtained, completed and agree to the discount applied. Action Taken: CHASS management concurs with the audit finding. Every week, a member of the Billing Staff will review self-pay claims to locate an internal sample of 5 claims that have a sliding fee discount applied. Once the 5 claims are selected, they will check to make sure supporting documentation is in the patient?s record and that the patient-provided income is entered correctly into the billing system. The claim will also be reviewed to make sure the appropriate discount was applied. Any errors will be reported to the CSR supervisor for follow-up and corrections with the Customer Service Representatives responsible for the original entry. In addition, Henry Ford Community Connect (which administers the billing software) has been contacted to resolve issues with EPIC not applying the correct discount despite correct patient information being entered. Responsible parties: Angela Salgado, Chief Operating Officer, Mariana Gutierrez, Billing Manager. Anticipated completion date: These actions were implemented starting in April 2022, however turnover in management resulted in inadequate follow-up. This will be addressed more thoroughly beginning in June 2023.