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.