Finding 943124 (2023-001)

Material Weakness
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-02-09

AI Summary

  • Core Issue: There is a material weakness in how sliding fee discounts are calculated and applied, leading to potential overcharging and undercharging of patients.
  • Impacted Requirements: Compliance with federal grant guidelines requires accurate application of sliding fee discounts based on income and family size.
  • Recommended Follow-Up: Review and revise policies and procedures for sliding fee discounts, and ensure system settings are accurate to improve internal controls.

Finding Text

2023-001 – Material weakness related to sliding fee scale discount application. Federal agency – United States Department of Health and Human Services Federal program - Health Centers Cluster - Affordable Care Act Grants for New and Expanded Services under the Health Center Program Assistance Listing # – 93.527 Grant ID # - L2CCS42380 Grant award period – FY 2022-2023 Compliance requirement – special tests and provisions Criteria – Management is responsible for establishing and maintaining effective internal controls over determining sliding fee discounts and write-offs. Federal grant funds received by the Center required that the Center maintain a sliding fee write-off policy based on income and family size thresholds. Condition – The auditor noted during its testing of sliding fee discounts that eleven out of forty sliding fee discounts were incorrectly calculated and/or applied. Questioned costs - $-0- Context – Grant specific requirements direct the grant recipient to comply with policies surrounding sliding fee discounts. Effect – This condition creates a risk that patients can be under or over charged for services provided by the Center, which is not in compliance with the Center’s federal grant guidelines. Cause – The cause of this deficiency is related to human input error and incorrect or outdated system information. In some cases, the sliding fee discount was assessed with information already in the electronic health system that did not match current patient income and family threshold attestations. Of the eleven sliding fee discounts that were incorrectly calculated and/or applied, three patients were assessed at a lower level of fee assistance and were over charged a sliding fee discount, two patients were assessed at a higher level of fee assistance and were under charged a sliding fee discount, and six patients were under charged and received a sliding fee discount that should have paid full charge based on not meeting fee assistance thresholds. Recommendation – The auditor recommends that procedures and policies surrounding sliding fee discounts are reviewed and revised in order to strengthen internal controls to help ensure calculations and applications of sliding fee discounts are done correctly. In addition, the auditor recommends that all system settings surrounding sliding fee discounts are reviewed to make sure calculations are correctly performed. Views of Responsible Officials and Planned Corrective Action - Management concurs with audit finding 2023-001. The Center is developing procedures and policies surrounding review of sliding fee discounts are reviewed and revised in order to strengthen internal controls to help ensure calculations and applications are done correctly.

Categories

Special Tests & Provisions Material Weakness Internal Control / Segregation of Duties

Other Findings in this Audit

  • 366682 2023-001
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $2.44M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $594,231
93.667 Social Services Block Grant $181,892
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $101,787
93.276 Drug-Free Communities Support Program Grants $79,983
93.959 Block Grants for Prevention and Treatment of Substance Abuse $60,000
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $50,000
93.958 Block Grants for Community Mental Health Services $4,628