FAC Explorer

Finding 480065 (2023-003)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-07-31
Audit: 316348
Organization: Jericho Road Ministries D/b/a Jericho Road Community Health Center (NY)
Auditor: Bst & CO CPAS LLP

AI Summary

  • Core Issue: Two patients received Sliding Fee Discounts despite being ineligible due to a clerical error.
  • Impacted Requirements: The Health Center Program mandates a sliding fee discount schedule based on patients' ability to pay.
  • Recommended Follow-Up: Implement a review process for patient eligibility data in the internal database to prevent future errors.

Finding Text

2023-003: Sliding Fee Discount Processes Criteria or specific requirement: The Health Center Program (93.224) requires grantees to 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. Condition: Two individuals that received the Sliding Fee Discount were not eligible based on income. Cause: This was due to a clerical error entered into the Center’s internal database. There is no review process of entry into the internal database for eligibility. Effect or potential effect: Without adequate controls over this process, the Center may provide discounts to ineligible patients. Recommendation: The Center should establish internal control processes for the Sliding Fee Discount policy as a whole. A review process should be in place for all patient information entered into the Center’s billing software. Views of responsible officials: Refer to the Corrective Action Plan prepared by the Center in regard to this matter.

Corrective Action Plan

The Sliding Fee Discount Program policy was updated in March 2024, by Magdalena Nichols, the Chief Operating Officer, to add that the Billing Manager or his/her designee will review all Sliding Fee Scale (SFS) applications on a monthly basis for accuracy. To reduce clerical errors associated with the entry of data into the billing system, the SFS calculation was also added to the SFS application to ensure that we are offering the right SFS rate so that it can be verified at a later point.

Categories

Eligibility

Other Findings in this Audit

  • 480066 2023-004
    Significant Deficiency
  • 480067 2023-005
    Significant Deficiency
  • 480068 2023-006
    Significant Deficiency
  • 480069 2023-007
    Significant Deficiency
  • 1056507 2023-003
    Significant Deficiency
  • 1056508 2023-004
    Significant Deficiency
  • 1056509 2023-005
    Significant Deficiency
  • 1056510 2023-006
    Significant Deficiency
  • 1056511 2023-007
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.23M
93.011 National Organizations of State and Local Officials $298,868
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $158,340
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $129,998
97.024 Emergency Food and Shelter National Board Program $104,806
10.558 Child and Adult Care Food Program $90,259
93.566 Refugee and Entrant Assistance_state Administered Programs $89,000
93.884 Grants for Primary Care Training and Enhancement $66,000
14.231 Emergency Solutions Grant Program $40,912
93.844 Acl Centers for Independent Living, Recovery Act $11,821