Finding Text
Sliding Scale Assessment Significant Deficiency
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
ALN #: 93.224
Federal Award Identification #: H80CS00594
Condition: The sliding scale assessment based on the patient’s ability to pay was not always accurately performed or applied.
Criteria: 42 CFR Part 51c.303 (f)
Questioned Costs: $0
Context: Out of 6 patients tested, CCHC incorrectly calculated a sliding scale fee discount when the patient didn’t qualify based on income. For another patient, the assessment was correctly made but they did not charge the patient the sliding scale fee.
Cause: Human error, challenges with the system in even identifying patients assessed a sliding scale fee.
Effect: Non-compliance with federal regulations
Identification as repeat finding, if applicable: not applicable
Recommendation: We recommend that the system be set up to better flag patients who have been assessed for sliding scale and a periodic secondary review be completed to ensure accuracy of assessment.
Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. See corrective action plan.