Finding 619214 (2022-002)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-02-16

AI Summary

  • Core Issue: Some patients did not receive the correct sliding fee discounts based on their ability to pay.
  • Impacted Requirements: Health Centers must apply a sliding fee discount schedule accurately for eligible patients.
  • Recommended Follow-Up: Management should implement procedures to ensure all eligible patients receive the correct discounts.

Finding Text

Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted or discounted based on the patient?s ability to pay. Condition: Some patients did not receive the proper sliding fee discount. Cause: Errors within the setup of the Center?s billing software. Context: Of the 60 patients sampled, 17 patients did not receive the proper adjustment or discount. Effect: Improper adjustments or discounts could lead to inaccurate financial statements as well as improper patient billings. Auditor's Recommendation: Management should have procedures in place ensuring that each eligible patient receives the proper discount or adjustment.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 42772 2022-002
    Significant Deficiency Repeat
  • 42773 2022-001
    Significant Deficiency
  • 619215 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $1.08M
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $491,355
93.498 Provider Relief Fund $71,799
93.526 Affordable Care Act (aca) Grants for Capital Development in Health Centers $0