Finding 500384 (2023-001)

Material Weakness Repeat Finding
Requirement
J
Questioned Costs
-
Year
2023
Accepted
2024-09-30

AI Summary

  • Core Issue: There are significant documentation gaps in patient files, including missing registration forms and improper application of sliding fee discounts.
  • Impacted Requirements: Compliance with federal guidelines on patient income documentation and sliding fee scale adjustments is not being met, leading to potential billing inaccuracies.
  • Recommended Follow-Up: Enhance staff training on documentation processes and software use, and ensure stricter monitoring to prevent repeat findings and ensure compliance.

Finding Text

2023-001 Program Income - Sliding Fee Scale Health Center Program Cluster # 93.224 - U.S. Department of Health and Human Services Contract H80CS00094. Condition - Out of 60 encounters tested we noted the following: Five (5) instances where there was no registration form in patient file, fifteen (15) instances where the sliding fee scale discount was not properly applied, and six (6) instances where proper proof of identification was not in patient file. Criteria - Health centers are required to have a corresponding schedule of discounts applied and adjusted based on the patient's ability to pay (42 USC 254b(k)(3)(G)(i). The patient's ability to pay is based on the official poverty guideline, as revised annual by HHS (42 CFR sections 51c. l 07(b)(5), 56.108(b)(5), and 56.303(f). Cause - Failure to obtain the required documentation was due to failure of the Corporation to properly monitor the process. Errors in calculating and/or applying the sliding fee discounts were primarily due to staff not properly following the process of entering and substantiating income within the software and the Corporation not properly monitoring the process. Conditions No. 1, and No. 2 are repeat findings from the prior year. See Summary Schedule of Prior Audit Findings 2022-001. Effect - The Corporation could be incorrectly billing for services and maintaining customer account balances at incorrect amounts. Recommendation - Staff should make every effort to obtain documentation of patient income, identification, and registration in accordance with internal policies and procedures. Patients should be billed full billing rates for all services until all documentation is received. We recommend additional staff training focusing on software familiarization and additional monitoring of the process by the Corporation. Management's Response - Management agrees with the finding. The Corporation is increasing its efforts to ensure that its policies and procedures surrounding documentation of patient income, identification, and registration is followed, and specifically that this documentation is archived correctly within every patient file. The Corporation has conducted several staff trainings and has revised its review procedures for checking compliance to improve monitoring of the process by the Corporation.

Corrective Action Plan

2023-001 Program Income The Corporation is increasing its efforts to ensure that its policies and procedures surrounding documentation of patient income, identification, and registration is followed, and specifically that this documentation is archived correctly within every patient file. The Corporation has conducted several staff trainings and has revised its review procedures for checking compliance to improve monitoring of the process by the Corporation. Completion Date: Estimated December 2024. Contact Person: Rajuan Sherman - Chief Financial Officer - 2731 M.L. King, Jr. Blvd, Tuscaloosa, AL 35403 - (205) 614-6070 - rsherman@whatleyhealth.org.

Categories

Subrecipient Monitoring Program Income

Other Findings in this Audit

  • 1076826 2023-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Community Health Centers $1.63M
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $401,735
93.917 Hiv Care Formula Grants $198,138
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $100,366
93.526 Fip Verification $91,284
93.988 Cooperative Agreements for Diabetes Control Programs $50,000
93.191 Graduate Psychology Education $7,194