Finding Text
Finding 2022-02 - U.S. Department of Human Health and Services- Special Tests and Provisions: Sliding Fee Discounts Condition - The Organization was unable to locate appropriate support for the sliding fee placement for two of its patients who received sliding fee discounts. Criteria - The Organization should maintain sliding fee applications and supporting finacial records for patients treated during the audit period to determine whether patient charges were appropriately adjusted. These patient charges are based on income and family size by applying the health center's sliding fee discount schedule. Cause - High turnover in the finance and accounting department as well as inadequate communication and training for the related processes at the Organization. Effect - Auditors were unable to determine if a patient was put on the correct sliding fee schedule and, therefore, given the correct discount. Recommendation - We recommend that the Organization continue to train and develop new personnel on specific processes related to compliance requirements.