Finding Text
Criteria: The health center must prepare and apply a sliding fee discount schedule
so that the amounts owed for heath center services by eligible patients
are adjusted (discounted) based on the patient’s ability to pay based on
specific guidelines.
Condition: There were 4 instances in our sample of 44 where there was no proof of
income documentation to support the sliding fee discount adjustment.
Cause: Policies and procedures were not established to ensure that proof of
income documentation was retained.
Effect: Patients could have been improperly charged for services provided.
Recommendation: Appropriate policies and procedures should be established to ensure that
all sliding fee scale eligible patients have the appropriate proof of income
documentation in their file.