HEALTHPOINT

Finding 2021-001 Reporting Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Provider Relief Fund Program Assistance Listing Number: 93.498 Award Period: 1/20/2020 ? 6/30/2021 Type of Finding: Significant Deficiency in Internal Control over Compliance and Compliance Criteria or specific requirement: Per 2 CFR 200.302, the state's and the other non-Federal entity's financial management systems, including records documenting compliance with Federal statutes, regulations, and the terms and conditions of the Federal award, must be sufficient to permit the preparation of reports required by general and program-specific terms and conditions; and the tracing of funds to a level of expenditures adequate to establish that such funds have been used according to the Federal statutes, regulations, and the terms and conditions of the Federal award. Further…

Corrective action: U.S. Department of Health and Human Services 2021-001 Provider Relief Funds Period 1? Assistance Listing No. 93.498 Recommendation: HealthPoint should ensure that program managers compare all program reports to the reporting requirements within the grant documents to ensure all quantitative and qualitative information is appropriately included prior to submittal to the oversight agency. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The department has a process in place that requires all reporting requirements to be met by the required deadlines. Due to the uncertainty around the PRF monies, the department…

Finding 2021-002: Application of Sliding Fee Discounts Federal Agency: U.S. Department of Health and Human Services Federal Program Title: Health Center Program Cluster Program Assistance Listing Number: 93.224 and 93.527 Award Period: 4/1/2020 ? 3/31/2021 and 4/1/21 ? 3/31/2022 Type of Finding: Significant Deficiency in Internal Control over Compliance and Compliance Criteria or specific requirement: Per 42 CFR 51c.303(f), the community health center must have prepared a schedule of fees or payments for the provision of its services designed to cover its reasonable costs of operation and a corresponding schedule of discounts adjusted on the basis of the patient's ability to pay. Provided, that such schedule of discounts shall provide for a full discount to individuals and families with annual incomes at or below those set forth in the poverty guidelines updated periodically in the…

Corrective action: 2021-002 Health Center Program Cluster ? Assistance Listing No. 93.224 & 93.527 Recommendation: We recommend implementation of a second level independent review over the demographic data and income verification information that is entered into the patient billing system to ensure the financial classification is correct. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Management has implemented a weekly review process to ensure application of the sliding fee discount is valid and accurate. This weekly audit allows for rapid correction/feedback to front office staff. In addition, bi-monthly retrospective audi…