FAC Explorer

Finding 62492 (2022-002)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-06-29
Audit: 53955
Organization: Gaston Family Health Services, INC (NC)
Auditor: McCannon Rogers Driscoll and Associates LLP

AI Summary

  • Issue: Incorrect application of sliding fee rates for 4 out of 75 patient charges.
  • Impact: Potential inaccuracies in accounts receivable for patients.
  • Next Steps: Provide training for staff on sliding fee adjustments and implement monthly reviews of accounts.

Finding Text

Finding 2022-002 Special Tests and Provisions Criteria: Sliding fee rates are calculated correctly and applied to qualifying patients. Condition: Two out of 60 tested of medical patient charges did not apply the sliding fee scale to the calculation correctly. Two out of 15 tested of dental patients did not apply the sliding fee scale to the calculation correctly. Effect: Accounts receivable for patients could be inaccurately stated. Cause: The staff did not select the charge as subject to reduction or selected the wrong percentage to be applied. Recommendation: Management should ensure that account receivable clerical staff receive training on recording sliding fee adjustment in patient account and record reduction after patient visit or when patient brings in sliding fee qualification documentation and staff or a manager run a monthly report for sliding fee patients and review accounts to ensure sliding fee reductions have been properly recorded to patient accounts.

Corrective Action Plan

Gaston Family Health Services takes application of the sliding fee scale very seriously. To help ensure that the sliding fee schedule is being applied correctly, each practice will undergo further training on the application of the Sliding Fee Scale once a year, in addition to thorough training upon hiring staff. Also, each practice manager will run a monthly report for sliding fee patients and review accounts to ensure sliding fee reduction have been properly recorded to patient accounts.

Categories

Special Tests & Provisions

Other Findings in this Audit

  • 62493 2022-002
    Significant Deficiency Repeat
  • 62494 2022-002
    Significant Deficiency Repeat
  • 62495 2022-002
    Significant Deficiency Repeat
  • 62496 2022-002
    Significant Deficiency Repeat
  • 638934 2022-002
    Significant Deficiency Repeat
  • 638935 2022-002
    Significant Deficiency Repeat
  • 638936 2022-002
    Significant Deficiency Repeat
  • 638937 2022-002
    Significant Deficiency Repeat
  • 638938 2022-002
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
32.006 Covid-19 Telehealth Program $983,524
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $341,270
93.332 Cooperative Agreement to Support Navigators in Federally-Facilitated and State Partnership Marketplaces $151,445
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $113,162
93.800 Organized Approaches to Increase Colorectal Cancer Screening $19,975
93.919 Cooperative Agreements for State-Based Comprehensive Breast and Cervical Cancer Early Detection Programs $8,556