Finding 628523 (2022-002)

Significant Deficiency
Requirement
AB
Questioned Costs
-
Year
2022
Accepted
2022-12-28
Audit: 42914
Auditor: Pt CPAS PLLC

AI Summary

  • Issue: Patients received services but were not billed, leading to unpaid services.
  • Trend: Bills sent to insurance often resulted in patients being billed directly, with no payment received by the Organization.
  • Follow-up: Review billing processes to ensure all services are billed correctly and payments are tracked effectively.

Finding Text

There were several patient encounters identified where the patient received services of the Organization, howerver the patient was not billed for the services. In addition we found several patient bills that were sent to insurance companies, the insurance company would then send the bill to the patient, and ultimately the Organization never received payment for the services rendered.

Categories

No categories assigned yet.

Other Findings in this Audit

  • 52078 2022-001
    Significant Deficiency
  • 52079 2022-002
    Significant Deficiency
  • 52080 2022-001
    Significant Deficiency
  • 52081 2022-002
    Significant Deficiency
  • 628520 2022-001
    Significant Deficiency
  • 628521 2022-002
    Significant Deficiency
  • 628522 2022-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $3.89M
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $444,383