NORTH COUNTY HEALTH PROJECT INCORPORATED

2022-001 Sliding Fee Discount Determination ALN: 93.224 Program: Health Center Program Cluster Agency: US Department of Health and Human Services Compliance Requirement: N- Special Tests and Provisions Repeat Finding: No Criteria: Federal grant compliance provisions require that the Center correctly identify a patient's ability to pay and that the rates for services be adjusted accordingly based on the sliding fee schedule. The Center is required to follow its sliding fee policy when providing discounts to eligible patients. Finding/ Condition: In the sample of 40 tested items, patient information was inadequate to determine the proper sliding fee discount or the patient was given an innapropriate discount based on information provided. Questioned Cost: None. Effect: Lack of strict enforcement of the policy of sliding fee eligibility determinat…

Corrective action: 2022-001 Sliding Fee Discount Determination Name of Contact Person: Kathy Martinez, CFO Correction Action: ? Redesign of FACT sheet for ease of use when entering data into electronic health records. ? Immediately retrain staff involved in Sliding Fee Discount Program on proper documentation requirements and implementation of sliding fee determination and billing including scanning of documentation into our OCHIN Epic electronic health records system. ? Work with OCHIN to create documentation storage at guarantor level and patient linking options to easily access sliding fee documentation within the system. ? In collaboration with OCHIN develop a charge review workque in which the billi…

II. Current Year Audit Findings and Questioned Costs Financial Statement Findings: None Reported Federal Award Findings And Questioned Costs: 2019-001 Sliding Fee Discount Determination CFDA Number: 93.224 Program: Community Health Center Cluster Criteria: Federal grant compliance provisions require that the Center correctly identify a patient's ability to pay and that the rates for services be adjusted accordingly based on the sliding fee schedule. The Center is required to follow its sliding fee policy when providing discounts to eligible patients. Finding/ Condition: In our sample of tested items, patient information was inadequate to determine the proper sliding fee discount or patients were given incorrect discounts based on information provided. Questioned Cost: None. Effect: Lack of strict enforcement of the policy of sliding fee eligibility determination and compliance may have r…

Corrective action: 2019-001 Sliding Fee Discount Determination Name of Contact Person: Kathy Martinez, Chief Financial Officer Corrective Action: The Center agrees with the recommendation and has taken steps to correct these errors by implementing additional controls to test sliding fee discount application and provide training where necessary Proposed Completion Date: June 30, 2020