CAMAI COMMUNITY HEALTH CENTER

Criteria: Internal control procedures should be in place to ensure that sliding fee discounts are being properly calculated and applied to patient?s bills. Condition and context: During our testing of 25 sliding fee discounts applied to patient?s bills we noted 1 transaction in which a patient was billed in excess of the amount due as dictated by the sliding fee scale. Cause: Lack of internal controls over application of the sliding fee discount. Effect: Lack of internal controls over billing and the sliding fee discounts could cause errors in the billing process. Questioned Costs: None. Repeat Finding: No. Recommendation: Employees who are responsible for patient billings should have the proper training and skills necessary to ensure amounts billed are properly calculated and sliding scale fee discounts are being applied correctly. Management?s Response: Management concurs with the Finding. See Corrective Action Plan

Corrective Action Plan: We are currently implementing a new Electronic Health Record (EHR) system, athenahealth, that should eliminate any billing mistakes and issues that were often encountered with CCHC?s current EHR, CareTracker, by having weekly hands-on training provided by athenahealth employees. Proposed Completion Date: March 10, 2020.