Finding Text
2023-02 - U.S. Department of Human Health and Services-
Condition - The Organization placed one of its patients on a sliding fee for a different service than the one ultimately provided.
Criteria - The Organization should maintain sliding fee applications and supporting finacial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted. These patient charges are based on income and family size by applying the health center's sliding fee discount schedule according to the service that is provided.
Cause - High turnover in the finance and accounting department as well as inadequate communication and training for the related processes at the Organization.
Effect - The patient was charged on the correct sliding fee discount level, but for a lab visit instead of a medical visit.
Recommendation - We recommend that the Organization continue to train and develop new personnel on specific processes related to compliance requirements.