CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

2023-002 – Sliding Fee Discounts Federal Agency: U.S. Department of Health and Human Services Federal Program Name: Health Center Program Cluster CFDA Number: 93.224 / 93.527 Federal Award Number: 5 H80CS10748-16-00 Internal Control: Significant Deficiency Compliance: Special Tests and Provisions Criteria: Health centers must prepare and apply a sliding fee discount schedule and policy so that the amounts owed for health center services by eligible patients are adjusted based on the patient’s ability to pay (42 USC 254(k)(3)(E), (F), and (G); 42 CFR sections 51c.303(e), (f), and (g); and 42 CFR sections 56.303(e), (f), and (g)). Condition: San Ysidro Health lacked adequate controls over its sliding fee discount program to ensure that patients received the correct discount. The following shows the results of our test of program income payments to determine whether San Ysidro Health …

Corrective action: Finding 2023-002 Federal Agency: U.S. Department of Health and Human Services, ALN#93.224/93.527 Health Centers Cluster Response: Management acknowledges the finding of the auditors and recognizes the need for improving its Sliding Fee Discount Program systems, processes, and monitoring. In the latter half of 2024, the Billing Department leadership and front desk training team will renew its staff training and oversight efforts to improve compliance. Training on San Ysidro Health’s Sliding Fee Discount Program policies and procedures will be planned, scheduled, and provided for all front desk leaders and staff to ensure that the policies and procedures are followed to mitigate the risk o…