Finding 497637 (2024-003)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2024-09-23
Audit: 320434
Auditor: Terry Horne CPA

AI Summary

  • Core Issue: Health centers failed to document sliding fee discounts properly, leading to incomplete, expired, or missing applications.
  • Impacted Requirements: Compliance with Uniform Guidance and internal policies for sliding fee discounts was not met, affecting documentation standards.
  • Recommended Follow-up: Train staff on documentation requirements and implement regular supervisory reviews of patient records to ensure compliance.

Finding Text

Finding: 2024-003 Sliding Fee Discounts Federal Programs: Department of Health and Human Services Health Center Program Cluster Assistance Listing No. - 93.527 Criteria: Uniform Guidance, Special Tests & Provisions, Sliding Fee Discounts, 42 CFR, 56.303 Condition: Health centers that receive funding under the Health Center Program Cluster are required to document sliding fee discounts in accordance with the Organization’s policies. During compliance testing, it was determined that the Organization did not maintain proper documentation of all necessary elements of sliding fee discounts as required by the Organization’s policy. This was a result of sliding fee applications being incomplete, expired, or missing. Cause: There were deficiencies in internal controls over the Organization’s sliding fee program. For certain patient accounts that were tested as part of the audit, the Organization was unable to substantiate that proper documentation was obtained from the patients, and that the resulting sliding fee discounts were correctly calculated in accordance with the Organization’s sliding fee policy. Effect: Documentation to substantiate discounts applied to certain patient accounts was not available for certain sliding fee patient visits during the year. Questioned Costs: None Context/Sampling: For 18 of 48 patients selected for testing, sliding fee applications were incomplete, missing, or expired. This sample was not, and was not intended to be, a statistically valid sample. The finding appears to be a systemic issue. Repeat Finding from Prior Year: No Recommendation: It is recommended that employees be trained to maintain the required documentation, including sliding fee applications, for sliding fee discounts provided. It is also recommended that patient records are reviewed by a supervisor on a periodic basis to ensure that the required documentation is properly maintained. Views of Responsible Officials: Management concurs. Efforts will be made to implement corrective actions as recommended above. Contact Person: Mark Rajkowski, CEO Anticipated Date of Completion: October 31, 2024

Categories

Special Tests & Provisions Internal Control / Segregation of Duties

Other Findings in this Audit

  • 497634 2024-002
    Material Weakness
  • 497635 2024-002
    Material Weakness
  • 497636 2024-003
    Material Weakness
  • 497638 2024-004
    Material Weakness
  • 497639 2024-004
    Material Weakness
  • 1074076 2024-002
    Material Weakness
  • 1074077 2024-002
    Material Weakness
  • 1074078 2024-003
    Material Weakness
  • 1074079 2024-003
    Material Weakness
  • 1074080 2024-004
    Material Weakness
  • 1074081 2024-004
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $101,343
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $48,114
93.800 Organized Approaches to Increase Colorectal Cancer Screening $18,750