Finding 479547 (2024-002)

Finding 2024-002 – Special Tests and Provisions – Sliding Fee (Significant Deficiency and Noncompliance) Information on the federal program: U.S. Department of Health and Human Services, Federal Assistance Listing No. 93.224 Health Center Program Cluster Criteria: HSI controls require all patients that qualify for sliding scale complete a registration form that is reviewed and approved by an HSI employee within one year of the date of service. Condition: Our audit procedures included testing the controls and application of the sliding scale fee discount for 40 patient visits during the year. We noted one instance where the intake form was not signed as approved. Cause: Eligibility documentation obtained by HSI for each patient was not properly completed, evaluated and entered into the system or properly updated after the service date. Therefore, the information used to apply the sliding fee discount was not properly approved. Effect: One patient’s form was not properly reviewed and approved to document eligibility. Recommendation: We recommend the Organization strengthen its policies and procedures surrounding registration and patient forms to remain in compliance with the special tests and provision requirements. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. See Corrective Action Plan included at the end of the report.