EIN: 202405575
UEI: YM7JL5WADUK1
Data as of August 26, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on November 19, 2019. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by May 19, 2020 (2291 days ago).
What is a management decision? →2019-001 Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 3 H80CS08226-13-02 Program Year 2020 Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g) and 42 CFR section 56.303(f)). Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were given incorrect sliding fee discounts or were provided a percentage of gross charge as their nominal fee for Slide A eligible patients. Questioned cost ? None Context ? A sample of 40 patient encounters were tested out of the population of 93,524 sliding fee discount transactions. The sample was not, and is not intended to be, statistically valid. Of the 40 patient encounters tested, 7 were determined to have resulted in an improper sliding fee adjustment based on the Organization?s policy and screening of patient eligibility. Effect ? Patients eligible for sliding fee discounts were given improper sliding fee discounts. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding. Recommendation ? All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy in order to improve application of the sliding fee discount program. Views of Responsible Officials and Planned Corrective Action ? On a monthly basis, the Billing Coordinator will randomly select 15 claims with sliding fee discount adjustment codes to ensure that the adjustment provided is consistent with the sliding fee discount policy and applicable sliding fee discount scale.
Show full finding ▾Hide full finding ▴2019-001 Health Center Program Cluster CFDA Nos. 93.224 and 93.527 U.S. Department of Health and Human Services Award No. 3 H80CS08226-13-02 Program Year 2020 Criteria or Specific Requirement ? Special Tests and Provisions: Sliding Fee Discounts (42 USC 254(k)(3)(g); 42 CFR sections 51c.303(g) and 42 CFR section 56.303(f)). Condition ? Patients who were eligible for sliding fee discounts under the Organization?s policy were given incorrect sliding fee discounts or were provided a percentage of gross charge as their nominal fee for Slide A eligible patients. Questioned cost ? None Context ? A sample of 40 patient encounters were tested out of the population of 93,524 sliding fee discount transactions. The sample was not, and is not intended to be, statistically valid. Of the 40 patient encounters tested, 7 were determined to have resulted in an improper sliding fee adjustment based on the Organization?s policy and screening of patient eligibility. Effect ? Patients eligible for sliding fee discounts were given improper sliding fee discounts. Cause ? The Organization did not comply with their sliding fee policy. Identification as a repeat finding ? Not a repeat finding. Recommendation ? All personnel involved in the sliding fee discount program should demonstrate their understanding of the sliding fee scale policy in order to improve application of the sliding fee discount program. Views of Responsible Officials and Planned Corrective Action ? On a monthly basis, the Billing Coordinator will randomly select 15 claims with sliding fee discount adjustment codes to ensure that the adjustment provided is consistent with the sliding fee discount policy and applicable sliding fee discount scale.
November 7, 2019 EASTERN IOWA HEALTH CENTER FY 2019 Financial Audit Corrective Action Plan Finding: The Organization's Sliding Fee Discount Policy provided a percentage of gross charge for the nominal fee for eligible Slide A dental and hospital patients. This resulted in patients who were eligible for slide fee discounts given incorrect sliding fee discounts. Corrective Action Plan: The Chief Financial Officer will update the Sliding Fee Discount Policy and Schedule to include a fixed, flat, nominal, charge for eligible Slide A dental and hospital patients. The policy and schedule will be shared within the organization for implementation by clinic staff. The revised Sliding Fee Discount Policy and Schedule, incorporating a fixed, flat, nominal, charge, was approved by the Eastern Iowa Health Cent Board of Directors on September 25, 2019 and implemented within the organization immediately thereafter.
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