EIN: 362800788
UEI: UXL4RSTMM9Q3
Data as of August 24, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 7, 2022. 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 June 7, 2023 (1174 days ago).
What is a management decision? →One patient?s sliding scale category was not correctly input into the billing system. Criteria: The Office of Management and Budget Compliance Supplement requires that health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Questioned Costs: Unknown Context: In a sample of 40 sliding scale patients, one patient?s sliding scale category was incorrectly entered into the system. Effect: One application was not entered correctly into the system, resulting in an incorrect amount being billed to the patient. Cause: Adequate procedures were not in place to ensure that required administrative responsibilities, including ensuring that patient eligibility determinations were correctly entered into the system, were being performed and reviewed for accuracy. Recommendation: We recommend Comtrea revisit their processes and procedures regarding the sliding scale process focusing on adequate education and review to ensure timely and accurate conclusions, input, reporting, and billing. Management's Response: Community Treatment, Inc has in place a policy regarding sliding fee discount program that includes review and random audits of individual sliding fee applications. The error found during the course of the financial audit was the result of incorrect data entry into the EMR for the specific patient. The application itself was correct. Corrective action to reduce the risk of this happening in the future includes, training to all staff of the policy and procedures and the importance of accurate data entry. Additional audit steps will include verification of the data entered and actual calculation on the patient ledger. The audit sample selected by the billing department will be increased for each clinic location and additional reporting of any findings to the appropriate management staff will be shared on a weekly basis.
Show full finding ▾Hide full finding ▴Federal Program: Assistance Listing 93.224 Health Center Program Cluster: Consolidated Health Center Compliance Requirement: Special Tests and Provisions Condition: One patient?s sliding scale category was not correctly input into the billing system. Criteria: The Office of Management and Budget Compliance Supplement requires that health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Questioned Costs: Unknown Context: In a sample of 40 sliding scale patients, one patient?s sliding scale category was incorrectly entered into the system. Effect: One application was not entered correctly into the system, resulting in an incorrect amount being billed to the patient. Cause: Adequate procedures were not in place to ensure that required administrative responsibilities, including ensuring that patient eligibility determinations were correctly entered into the system, were being performed and reviewed for accuracy. Recommendation: We recommend Comtrea revisit their processes and procedures regarding the sliding scale process focusing on adequate education and review to ensure timely and accurate conclusions, input, reporting, and billing. Management's Response: Community Treatment, Inc has in place a policy regarding sliding fee discount program that includes review and random audits of individual sliding fee applications. The error found during the course of the financial audit was the result of incorrect data entry into the EMR for the specific patient. The application itself was correct. Corrective action to reduce the risk of this happening in the future includes, training to all staff of the policy and procedures and the importance of accurate data entry. Additional audit steps will include verification of the data entered and actual calculation on the patient ledger. The audit sample selected by the billing department will be increased for each clinic location and additional reporting of any findings to the appropriate management staff will be shared on a weekly basis.
November 2022 PLANNED CORRECTIVE ACTION FOR CURRENT YEAR FINDINGS FINANCIAL STATEMENT FINDING There were no financial statement findings. FEDERAL AWARD FINDING OR QUESTIONNED COSTS For the year ended June 30, 2022, there was one federal award finding as summarized below. Finding 2022-001: The Office of Management and Budget Compliance Supplement requires that health centers must prepare and apply a sliding fee discount schedule so that the amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. In a sample of 40 sliding scale patients, one patient?s sliding scale category was incorrectly entered into the system. Views of Responsible Officials and Corrective Action Plan: Community Treatment, Inc has in place a policy regarding sliding fee discount program that includes review and random audits of individual sliding fee applications. The error found during the course of the financial audit was the result of incorrect data entry into the EMR for the specific patient. The application itself was correct. Corrective action to reduce the risk of this happening in the future includes, training to all staff of the policy and procedures and the importance of accurate data entry. Additional audit steps will include verification of the data entered and actual calculation on the patient ledger. The audit sample selected by the billing department will be increased for each clinic location and additional reporting of any findings to the appropriate management staff will be shared on a weekly basis. Contact: Amy Rhodes Anticipated Completion Date: December 2022
FAC accepted this audit on November 13, 2016 — management decision was due May 13, 2017.
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