Finding 588608 (2022-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2022-12-06
Audit: 16269
Organization: Marana Health Center, INC (AZ)

AI Summary

  • Core Issue: There is a significant deficiency in internal controls related to the calculation of sliding fee discounts for patients.
  • Impacted Requirements: Compliance with federal regulations requiring accurate fee schedules and discounts based on patients' ability to pay.
  • Recommended Follow-Up: Implement a second-level independent review process for demographic and income data in the billing system to ensure accuracy.

Finding Text

2022-001: Significant Deficiency in Internal Control Over Compliance and Compliance Over Application of Sliding Fee Discounts Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Centers Cluster CFDA Number: 93.224 and 93.527 Criteria: The Health Centers Program, 42 U.S.C. ? 245b(k)(3)(G)(i) states that ?the center has prepared a schedule of fees or payments for the provision of its services consistent with locally prevailing rates or charges and designed to cover its reasonable costs of operation and has prepared a corresponding schedule of discounts to be applied to the payment of such fees or payments, which discounts are adjusted on the basis of the patient?s ability to pay.? Condition: During our testing of sliding fee discounts for health center, there were two instances in which the sliding fee was calculated incorrectly. Context: We randomly selected twenty-five sliding fee discounts to test for compliance. Two of the twenty-five sliding fee selections was incorrectly calculated. Questioned Costs: None Cause: The clinic entered the patient?s salary amount incorrectly in the billing system. There is not a system in place to properly detect and identify slides that may be incorrectly entered or applied. Effect: The patient may not receive the discount they are eligible for and noncompliance with Federal requirements and terms of the grant which may result in withdrawal or revocation of the grant given by the Federal agency. Recommendation: Management?s close supervision and review is the best means to ensure all requirements are met. We recommend implementation of a second level independent review over the demographic data and income verification information entered into the patient billing system in order to ensure the financial classification is correct.

Categories

Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 12166 2022-001
    Significant Deficiency
  • 12167 2022-001
    Significant Deficiency
  • 12168 2022-001
    Significant Deficiency
  • 588609 2022-001
    Significant Deficiency
  • 588610 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
10.766 Community Facilities Loans and Grants $8.68M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $4.81M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $3.30M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $981,937
32.006 Covid-19 Telehealth Program $794,998
93.268 Immunization Cooperative Agreements $168,971
93.137 Community Programs to Improve Minority Health Grant Program $21,265
93.778 Medical Assistance Program $12,766