SUN LIFE FAMILY HEALTH CENTER INC

U.S. Department of Health and Human Services Assistance Listing Number 93.224 and 93.527 Health Center Program Cluster Criteria or Specific Requirement – Special Tests and Provisions: Sliding Fee Discounts Condition – Patients did not receive the proper sliding fee adjustments under the Organization’s policy. Questioned Costs – None Context – A sample of 25 patients was tested out of a total population of 177,429 encounters. Two patients did not receive the proper sliding fee adjustments. The sampling methodology used is not and is not intended to be statistically valid. Effect – Incorrect sliding fee discounts were given to patients. Cause – The Organization did not comply with its sliding fee policy. Recommendation – We recommend management continue to ensure all personnel understand the sliding fee scale policy and adhere to the requirements and guidelines set forth in the policy. …

Corrective action: 8/26/2024 Sun Life Family Health Center, Inc. Responsible Party: Samantha Reinhard, Director of Community Outreach, sam.reinhard@slfhc.org Audit Period Ending: May 31, 2024 Finding #2024-002 Statement of Condition - Patients did not receive the proper sliding fee adjustments under the Organization’s policy. Management Plan - The Organization concurs with the finding and management has implemented procedures to ensure that eligible patients receive discounts in accordance with the sliding fee scale. The Director of Community Outreach will ensure review of all new sliding fee applications monthly to ensure data input accuracy. The Director of Revenue Cycle will conduct quarterly audits of slid…