FAC Explorer

Finding 561677 (2024-002)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-05-28
Audit: 357305
Organization: Jericho Road Ministries D/b/a Jericho Road Community Health Center (NY)
Auditor: Bst & CO CPAS LLP

AI Summary

  • Core Issue: The Health Center did not complete internal reviews for nine patients receiving Sliding Fee Discounts, risking discounts for ineligible individuals.
  • Impacted Requirements: The requirement for a sliding fee discount schedule based on patients' ability to pay was not properly enforced.
  • Recommended Follow-Up: Implement consistent internal controls and a review process for all patient eligibility data entered into the billing software.

Finding Text

Criteria or specific requirement: The Health Center Program (93.224) requires grantees to prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition and context: Internal review processes were not completed for nine individuals that received the Sliding Fee Discount. Cause: There is limited review of entry into the internal database for eligibility. Effect or potential effect: Without adequate controls over this process, the Center may provide discounts to ineligible patients.Questioned costs: None.Identification as a repeat finding, if applicable: The Sliding Fee Discount process had a finding last year whereby two individuals who received the discount were not eligible. This was due to the lack of a review process. Recommendation: The Center should ensure that internal control processes for the Sliding Fee Discount policy are consistently followed. A review process should be in place for all patient information entered into the Center’s billing software. Views of responsible officials: Refer to the Corrective Action Plan prepared by the Center in regard to this matter.

Corrective Action Plan

Previously, all sliding fee scale applications were reviewed and processed by the billing manager. Effective September 10, 2024, the Center assigned a specific billing specialist (Stephanie Rivera Rivera) to process the sliding fee scale applications. Billing managers’ responsibilities now include auditing the applications that are processed by the billing specialist. The auditing process completed by the billing manager, Yeny Roggie, is to ensure that the application is complete and that the proper sliding fee scale was offered to the patient.

Categories

Eligibility

Other Findings in this Audit

  • 561678 2024-003
    Significant Deficiency Repeat
  • 561679 2024-004
    Significant Deficiency
  • 561680 2024-005
    Significant Deficiency Repeat
  • 561681 2024-002
    Significant Deficiency Repeat
  • 561682 2024-003
    Significant Deficiency Repeat
  • 561683 2024-004
    Significant Deficiency
  • 561684 2024-005
    Significant Deficiency Repeat
  • 1138119 2024-002
    Significant Deficiency Repeat
  • 1138120 2024-003
    Significant Deficiency Repeat
  • 1138121 2024-004
    Significant Deficiency
  • 1138122 2024-005
    Significant Deficiency Repeat
  • 1138123 2024-002
    Significant Deficiency Repeat
  • 1138124 2024-003
    Significant Deficiency Repeat
  • 1138125 2024-004
    Significant Deficiency
  • 1138126 2024-005
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
93.224 Health Center Program (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.64M
93.526 Grants for Capital Development in Health Centers $658,972
14.267 Continuum of Care Program $498,598
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $199,767
97.024 Emergency Food and Shelter National Board Program $176,263
93.884 Primary Care Training and Enhancement $127,821
10.558 Child and Adult Care Food Program $118,827
93.566 Refugee and Entrant Assistance State/replacement Designee Administered Programs $101,900
14.231 Emergency Solutions Grant Program $51,124
93.527 Grants for New and Expanded Services Under the Health Center Program $27,728
20.616 National Priority Safety Programs $21,794
97.999 Fema Grants Outcomes $20,298
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $18,000