Finding Text
Criteria: Valle del Sol, Inc. and Subsidiary is required to charge patients under this program using a sliding fee scale that is based on the patient?s income levels and household size and retain supporting documentation of the patient?s income levels and household size. Condition: The following conditions were identified: ? Six out of 60 patients were being charged an incorrect sliding fee rate. ? One out of 60 patients lacked supporting documentation of income levels and household size. Cause: Due to an oversight by Valle del Sol, Inc. and Subsidiary, sliding fee rates were incorrectly calculated and documentation over patient levels and household size were not retained. Effect: Valle del Sol, Inc. and Subsidiary is not in compliance with the guidelines under the terms and conditions of the grant. Questioned Costs: None reported. The amount reimbursed is not impacted by the sliding fee collected. Context/Sampling: A nonstatistical sample of 60 patients out of 836 patients on the sliding fee scale were selected for testing. Repeat Finding from Prior Year: Yes. Recommendation: Implement internal controls over verifying income and applying correct sliding fee rate, in addition to retaining supporting documentation. Views of Responsible Officials: Management agrees with the finding.