GREAT LAKES BAY HEALTH CENTERS

2022-001 ? Significantly Deficiency and Noncompliance ? Special Tests ? Sliding Fee Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Condition: We tested 40 sliding fee encounters and noted that 2 of 40 sliding fee encounters tested had did not have sliding fee applications and 3 out of 40 patients were discounted the wrong amount. Questioned Costs: None Cause and Effect: The Organization failed to verify sliding fee applications were obtained and properly approved for all patients receiving discounts and incorrectly applied sliding fee discounts to charges. Recommendation: We recommend that sliding fee applications …

Corrective action: Federal Award Findings Finding number 2022-001 Significant Deficiency and Noncompliance ? Special Tests ? Sliding Fee We concur with this finding. We acknowledge that there were sliding fee discounts given without the appropriate/complete documentation being filed in the patients? chart. We have had a practice of performing internal sliding fee audits by clinical site and sharing the results with our Risk / Corporate Compliance committee and Site Managers. During COVID, some of this auditing practice fell away. Additionally, the increased usage of telehealth posed challenges in collection of patients documents, including the sliding fee and presumptive sliding fee applications. The other is…