Finding 486076 (2024-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2024-09-06

AI Summary

  • Answer: 5 out of 40 patient encounters had incorrect sliding fee discounts.
  • Trend: This inconsistency suggests a potential issue with adherence to the Health Center's discount policy.
  • List: Review all patient discounts for compliance, update training for staff on fee categories, and implement regular audits to ensure accuracy.

Finding Text

5 of 40 patient encounters examined received a sliding fee discount that was inconsistent with the stated fee discount categories under the Health Center's Policy.

Corrective Action Plan

Ongoing training/internal audits will be done monthly to be more robust and ensure staff understands and accurately calculate which discount the patient qualifies for. EVMC Administrative Assistant and Clinical Manager shall review the slide audits to determine which employees are making errors and provide re-training or corrective action as applicable and document/monitor for improvement. Staff will also notice slide on patients eligibility form match what is on the slide in patient’s electronic chart. We have also put the date at the top of our sliding fee eligibility form so that we are using correct forms.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 1062518 2024-001
    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) $1.09M
93.268 Immunization Cooperative Agreements $11,506
93.889 National Bioterrorism Hospital Preparedness Program $1,910