Finding Text
Criteria: Health Centers must prepare and apply a sliding fee discount schedule so that amounts owed for health center services by eligible patients are adjusted or discounted based on the patient’s ability to pay. Condition: Some patients did not receive the proper sliding fee discount. Cause: Errors within the setup of the Center's billing software. Questioned Costs: Known or likely questioned costs are less than $25,000. Context: Of the 40 patients sampled, 3 patients did not receive the proper adjustment or discount. Effect: Improper adjustments or discounts could lead to inaccurate financial statements as well as improper patient billings. Auditor's recommendation: Management should have procedures in place ensuring that each eligible patient receives the proper discount or adjustment.