Finding 980567 (2023-001)

Significant Deficiency Repeat Finding
Requirement
P
Questioned Costs
-
Year
2023
Accepted
2024-06-28
Audit: 310909

AI Summary

  • Core Issue: Income data for 6 out of 25 patients was not entered, leading to incorrect charges based on the sliding fee discount policy.
  • Impacted Requirements: Health centers must accurately apply a sliding fee discount schedule based on family income and size.
  • Recommended Follow-Up: Management should enhance procedures and provide training to ensure accurate income data entry in the electronic health record system.

Finding Text

Finding Type - Significant Deficiency. CFDA Number, Federal Agency/Pass-Through Agency and Program Name - 93.224/93.527- Health Center Cluster. Repeat Finding - No. Questioned Costs - None. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Criteria - Health centers must prepare and apply a sliding fee discount schedule so that amounts owed by patients for health care services are calculated. Discounts are adjusted based on family income and size. Context - Out of a sample of 25 patients selected for testing, income calcuation was not inputted for 6 of the patients. Cause and Effect - Income data was not inputted by the intate staff for 6 of the patients selected for testing. As a result, patients were not charged the correct amount for the services based on the sliding fee discount policy. Recommendation - We recommend that management implement procedures to ensure that income calculation is inputted into the electronic health record system. View of Responsible Officials and Corrective Action Planned - Management agrees with the finding and will conduct a review of the current process for data intake and application of sliding fee calculations into eClinicalWorks (our Electronic Health Record system) performed by front desk staff. Process improvement actions will be taken (including trainings) to ensure all front desk staff have full understanding of the process, address any concerns, and avoid future errors.

Categories

Significant Deficiency

Other Findings in this Audit

  • 404124 2023-001
    Significant Deficiency Repeat
  • 404125 2023-001
    Significant Deficiency Repeat
  • 404126 2023-001
    Significant Deficiency Repeat
  • 404127 2023-001
    Significant Deficiency Repeat
  • 980566 2023-001
    Significant Deficiency Repeat
  • 980568 2023-001
    Significant Deficiency Repeat
  • 980569 2023-001
    Significant Deficiency Repeat

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) $1.42M
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $374,516
93.940 Hiv Prevention Activities_health Department Based $151,798
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $49,496
93.247 Advanced Nursing Education Grant Program $25,577