Finding Text
Criteria: The Health Center Program Cluster requires Amistad Community Health Center, Inc. to
perform a financial assessment on patients in order to places them on a sliding fee scale. The sliding
fee scale must be based on the current Federal Povery Guidelines.
Condition: Patients are not always provided the appropriate sliding fee discount based on factors such
as income and household size.
Questioned Costs: None
Context: Forty (40) consumer files were tested for proper placement on the sliding fee scale. During
our audit it was noted that six (6) consumer files placement on various sliding scales was determined by
using outdated proof of income and/or household size information, or was incorrectly calculated in
general, in accordance with Amistad Community Health Center Inc.'s policy. The sliding fee schedule is
used to determine eligibility for patient discounts adjusted on the basis of the patient's ability to pay. This
schedule is based on the most recent Federal Poverty Guidelines.
Cause : Controls over placement of patients on the sliding fee scale necessary for financial assessment
of patients are not operating effectively.
Effect: Patients were provided incorrect discounts for services provided by Amistad Community
Health Center, Inc.
Recommendation: Amistad Community Health Center Inc. should review and modify the policies,
procedures, and training surrounding the sliding fee scale calculation and placement.
View of Responsible Officials: See management's corrective action plan.