Finding 576960 (2023-001)

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Requirement
N
Questioned Costs
-
Year
2023
Accepted
2023-10-23

AI Summary

  • Core Issue: Consumers are not always placed correctly on the sliding fee scale based on their household size and income.
  • Impacted Requirements: The financial assessment must align with the current Federal Poverty Guidelines.
  • Recommended Follow-Up: Review and improve procedures and training for calculating and placing consumers on the sliding fee scale.

Finding Text

Criteria: The Health Center Cluster requires the Organization to perform a financial assessment on consumers in order to place them on a sliding fee scale. The sliding fee scale must be based on the current Federal Poverty Guidelines at the time of assessment. Condition: Consumers are not always placed correctly on the sliding fee scale based on their household size and income level. Questioned Costs: None Context: We tested 25 consumer files for proper placement on the sliding fee scale. During this test we found 1 consumer file where the consumer was incorrectly placed on sliding fee scale D. The consumer should have been placed on sliding fee scale E (100% self-pay). Effect: Consumers may not be appropriately placed on the sliding fee scale. Cause: The Organization's controls over placement of consumers on the sliding fee scale necessary for financial assessment of consumers are not operating effectively. Recommendation: The Organization should review procedures and training regarding the sliding fee scale calculation and placement.

Categories

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Other Findings in this Audit

  • 518 2023-001
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Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.55M
93.498 Provider Relief Fund $492,614
93.994 Maternal and Child Health Services Block Grant to the States $237,552
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $109,357
93.667 Social Services Block Grant $57,433
93.461 Covid-19 Testing for the Uninsured $48,714