Finding Text
Finding – Consolidated Health Centers (Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Public Housing Primary Care, and School Based Health Centers) (ALN 93.224) and Affordable Care Act (ACA) Grants for New and Expanded Services under the Health Centers Program (ALN 93.527)
Criteria: The Association is required to have a sliding fee scale policy and to provide discounts to patients based on the established policy.
Condition: During our audit, we tested a sample of 25 sliding fee scale calculations. No documentation was able to be located for two slides in the sample.
Context: We reviewed 25 patient’s files for documentation of sliding fee scale calculations.
Cause: Turnover in those handling the sliding fee scale documentation.
Effect: The Association is not following its established policy.
Recommendation: We recommend that the Association review its sliding fee scale procedures to ensure the documentation is properly maintained.