Family Christian Health Center

EIN: 364346917

UEI: U4DZMW5AHNN7

Data as of August 24, 2026

Family Christian Health Center10 audit years13 findings10 repeat
10
Audit Years
13
Total Findings
10
Repeat Findings

FY 2023-06-30

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on October 1, 2024. 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 April 1, 2025 (510 days ago).

What is a management decision? →
2023-002
Special Tests & Provisions
REPEAT

The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2022-003. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization’s sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 8 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application on file. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patient applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization’s policies. View of Responsible Officials: Management agrees with the finding and has prepared a corrective action plan.

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Full finding narrative

Finding 2023-002 U.S. Department of Health and Human Services ALN: 93.224/93.527 Health Centers Cluster N – Special Tests and Provisions Condition: The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2022-003. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization’s sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 8 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application on file. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patient applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization’s policies. View of Responsible Officials: Management agrees with the finding and has prepared a corrective action plan.

Corrective Action Plan

Finding: 2023‐002: Sliding Fee Discount (Repeat 2022-003) The organization has hired a dedicated person to ensure all applications and required documentation are reviewed timely and accurately. The billing manager also completes random audits to ensure compliance with the company’s sliding scale policy. The organization has also established a procedure to complete quarterly audits of the sliding scale applications and discounts applied to ensure the process is following HRSA guidelines. Responsible party: Controller Completion date: since July 2024

Prior Finding References

2022-003

About Special Tests and Provisions →
2023-003
Reporting
REPEAT

The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2023, by the federal due date. In addition, the Organization did not submit the annual Federal Financial Report by the required deadline. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Uniform Guidance requires Federal Financial Reports within 90 days after the reporting period. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization’s ability to be ready for the audit and meet reporting requirements. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audit completed prior to the federal due date and establish procedures to assure other reporting requirements required for grant reporting are completed within the required deadlines. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits and reporting requirements completed by the due dates.

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Finding 2023-003 U.S. Department of Health and Human Services ALN: 93.224/93.527 Health Centers Cluster L – Reporting Condition: The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2023, by the federal due date. In addition, the Organization did not submit the annual Federal Financial Report by the required deadline. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Uniform Guidance requires Federal Financial Reports within 90 days after the reporting period. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization’s ability to be ready for the audit and meet reporting requirements. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audit completed prior to the federal due date and establish procedures to assure other reporting requirements required for grant reporting are completed within the required deadlines. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits and reporting requirements completed by the due dates.

Corrective Action Plan

Finding: 2023‐003: Single Audit Reporting (Repeat 2022-004) The organization has hired a Controller with prior FQHC experience who is working diligently to resolve audit delays. The organization is now on target with completing audits before the 9 – month deadline after its fiscal year close. Responsible party: Controller Completion date: since July 2024

Prior Finding References

2022-004

About Reporting →

FY 2022-06-30

FAC accepted this audit on April 15, 2024 — management decision was due October 15, 2024.

2022-003
Special Tests & Provisions
REPEAT

The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2021-003. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization’s sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 7 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application or required income verification on file. Additionally, it was observed that the Organization did not update its sliding fee discount scale for the year ended June 30, 2022. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patient applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization’s policies.

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Full finding narrative

Condition: The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2021-003. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization’s sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 7 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application or required income verification on file. Additionally, it was observed that the Organization did not update its sliding fee discount scale for the year ended June 30, 2022. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patient applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization’s policies.

Corrective Action Plan

Response: The sliding fee process has been enhanced to optimize the current staffing and workflow of the clinic to ensure that all applications and required documentation are reviewed by the Patient Financial Counselor at the time of visit. The billing manager further audits the process and documentation to ensure compliance. Responsible Party: Chief Financial Officer Estimated Completion Date: Fiscal Year 2023

Prior Finding References

2021-003

About Special Tests and Provisions →
2022-004
Reporting
REPEAT

The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2022, by the federal due date. In addition, the Organization did not submit the annual Federal Financial Report by the required deadline. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Uniform Guidance requires Federal Financial Reports within 90 days after the reporting period. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization’s ability to be ready for the audit and meet reporting requirements. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audit completed prior to the federal due date and establish procedures to assure other reporting requirements required for grant reporting are completed within the required deadlines. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits and reporting requirements completed by the due dates.

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Full finding narrative

Condition: The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2022, by the federal due date. In addition, the Organization did not submit the annual Federal Financial Report by the required deadline. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Uniform Guidance requires Federal Financial Reports within 90 days after the reporting period. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization’s ability to be ready for the audit and meet reporting requirements. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audit completed prior to the federal due date and establish procedures to assure other reporting requirements required for grant reporting are completed within the required deadlines. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits and reporting requirements completed by the due dates.

Corrective Action Plan

Response: The stabilization of the Accounting and Finance department has been the organization's priority. Appropriate staffing levels of the department have been restored to resolve audit delays. Responsible Party: Chief Financial Officer Estimated Completion Date: Fiscal Year 2023

Prior Finding References

2021-004

About Reporting →

FY 2021-06-30

FAC accepted this audit on July 31, 2023 — management decision was due January 31, 2024.

2021-003
Special Tests & Provisions
REPEAT

The Organization did not properly follow its sliding fee internal review and approval procedures for patients applying for a sliding fee discount and did not properly maintain documentation to support the qualification and sliding fee discount received. Criteria: According to Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization's sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 5 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application or required income verification on file. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Although none of the 40 patients selected for testing that had a sliding fee application on file had compliance issues with their sliding fee application or discount received, the review and approval process by the Organization is a key internal control in helping ensure the Organization is properly assessing a patient's qualifications for the sliding fee discount program. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patients applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization's policies. View of Responsible Officials: Management agrees with the finding and has prepared a corrective action plan.

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Full finding narrative

Finding 2021-003 U.S. Department of Health and Human Services ALN: 93.224/93.527 Health Centers Cluster N - Special Tests and Provisions Condition: The Organization did not properly follow its sliding fee internal review and approval procedures for patients applying for a sliding fee discount and did not properly maintain documentation to support the qualification and sliding fee discount received. Criteria: According to Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Context: In our testing of patients receiving discounts under the Organization's sliding fee schedule, we observed that 2 of 40 sliding fee discounts had an incorrect discount applied to the patient. In addition, 5 of 40 sliding fee discounts selected for testing did not have a patient sliding fee application or required income verification on file. Cause: Due to staffing constraints in the Organization, there was a lack of formal review and approval procedures for patients applying for the sliding fee discount program, and some documentation was not filed properly. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount if the applications are not being properly obtained and reviewed and approved by the Organization. Although none of the 40 patients selected for testing that had a sliding fee application on file had compliance issues with their sliding fee application or discount received, the review and approval process by the Organization is a key internal control in helping ensure the Organization is properly assessing a patient's qualifications for the sliding fee discount program. Recommendation: We recommend the Organization review its processes and procedures for completing the review and approval process for patients applying for the sliding fee discount program and provide additional training to all employees involved in the process. In addition, we recommend the Organization periodically review patients receiving discounts under the sliding fee discount program to help ensure applications and income support have been obtained in accordance with the Organization's policies. View of Responsible Officials: Management agrees with the finding and has prepared a corrective action plan.

Corrective Action Plan

Finding #2021-003 Federal Agency: U.S. Department of Health and Human Services ALN#93.224/93.527 Health Centers Cluster Response: The sliding fee process has been enhanced to optimize the current staffing and workflow of the clinic to ensure that all applications and required documentation are reviewed by the Patient Financial Counselor at the time of visit. The billing manager further audits the process and documentation to ensure compliance. Responsible Party: Chief Financial Officer Estimate Completion Date: Fiscal Year 2022

Prior Finding References

2020-001

About Special Tests and Provisions →
2021-004
Reporting

The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2021, by the federal due date. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization?s ability to be ready for audit. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audits completed prior to the federal due date. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits completed by the federal due date.

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Finding 2021-004 U.S. Department of Health and Human Services ALN: 93.224/93.527 Health Centers Cluster L - Reporting Condition: The Organization did not complete the audit required under Uniform Guidance for the year ended June 30, 2021, by the federal due date. Criteria: Uniform Guidance requires audits to be submitted the earlier of 30 days after audit issuance or 9 months after year end. Cause: Turnover in the chief financial officer position and staffing constraints at the Organization limited the Organization?s ability to be ready for audit. Effect: The audit was not completed prior to the federal due date. Recommendation: The Organization should plan to have its audits completed prior to the federal due date. View of Responsible Officials: The Organization agrees with the finding and has prepared a corrective action plan to have future audits completed by the federal due date.

Corrective Action Plan

Finding #2021-004 Federal Agency: U.S. Department of Health and Human Services ALN#93.224/93.527 Health Centers Cluster Response: The stabilization of the Accounting and Finance department has been the organization's priority. Appropriate staffing levels of the department have been restored to resolve audit delays. Responsible Party: Chief Financial Officer Estimate Completion Date: Fiscal Year 2023

About Reporting →

FY 2020-06-30

FAC accepted this audit on May 29, 2021 — management decision was due November 29, 2021.

2020-001
Special Tests & Provisions
REPEAT

The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2019-002. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Cause: In our testing of patients receiving discounts under the Organization?s sliding fee schedule, we observed that 1 of 40 patients selected for testing did not have a sliding fee application or required income verification and 2 of 40 patients selected for testing had an incorrect discount calculated based on the patient?s income and family size. The Organization?s sliding fee discount program requires that applicants complete and sign the application to be considered for the sliding fee discount program and must have adequate information to determine their sliding fee discount eligibility. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that applications and income support have been obtained in accordance with the Organization?s policies and that the proper sliding fee discount in being calculated. View of Responsible Officials: Management agrees with the finding and recommendations. The sliding fee patients with deviations above were from sliding fee applications completed, prior to the Organization implementing its corrective actions as a result of the 2019 audit results. The corrective action plan for the 2019 audit will describe the processes and procedures implemented during 2020 over the Organization?s sliding fee program. There were no findings among the sliding fee patients tested for the period after the corrective actions were implemented from the 2019 audit.

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Finding 2020-001 N - Special Tests and Provisions Federal Agency: U.S. Department of Health and Human Services CFDA Number: 93.224/93.527 Health Centers Cluster Award: H80CS00879 Direct Condition: The Organization did not properly maintain documentation to support the qualification and sliding fee discount received and did not properly calculate the sliding fee discount in accordance with their policy. This finding is repeated from 2019-002. Criteria: According to the Health Center Program Compliance Manual Chapter 9: Sliding Fee Discount Program, a health center is required to have operating procedures for assessing/re-assessing all patients for income and family size consistent with Board-approved sliding fee discount program policies. Cause: In our testing of patients receiving discounts under the Organization?s sliding fee schedule, we observed that 1 of 40 patients selected for testing did not have a sliding fee application or required income verification and 2 of 40 patients selected for testing had an incorrect discount calculated based on the patient?s income and family size. The Organization?s sliding fee discount program requires that applicants complete and sign the application to be considered for the sliding fee discount program and must have adequate information to determine their sliding fee discount eligibility. Effect: Discounts may be given to patients not eligible to receive a discount, or incorrect discounts may be provided for patients eligible to receive a discount. Recommendation: We recommend the Organization periodically review patients receiving discounts under the sliding fee schedule program to ensure that applications and income support have been obtained in accordance with the Organization?s policies and that the proper sliding fee discount in being calculated. View of Responsible Officials: Management agrees with the finding and recommendations. The sliding fee patients with deviations above were from sliding fee applications completed, prior to the Organization implementing its corrective actions as a result of the 2019 audit results. The corrective action plan for the 2019 audit will describe the processes and procedures implemented during 2020 over the Organization?s sliding fee program. There were no findings among the sliding fee patients tested for the period after the corrective actions were implemented from the 2019 audit.

Corrective Action Plan

Finding # 2020-001 ? N ? Special Tests and Provisions Federal Agency U.S. Department of Health and Human Services CFDA#93.224/93.527 Health Centers Cluster Award: H80CS00879 Response The sliding fee patients with deviations were from sliding fee applications completed, prior to the Organization implementing its corrective actions as a result of the 2019 audit results. The corrective action plan for the 2019 audit will describe the processes and procedures implemented during 2020 over the Organization?s sliding fee program. There were no findings among the sliding fee patients tested for the period after the corrective actions were implemented from the 2019 audit. Responsible Party Tiffany Robertson, CFO Estimated Completion Date The corrective action plan was completed on June 27, 2020. The sliding fee policy and procedure was revised and approved by HRSA and the board. There have been no findings since the plan was implemented.

Prior Finding References

2019-002

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FY 2019-06-30

FAC accepted this audit on May 18, 2020 — management decision was due November 18, 2020.

2019-002
Special Tests & Provisions
REPEAT

The Center assigned two patients the incorrect sliding fee discount. Questioned Costs: None Context: The condition affected two of the 40 encounters selected for testing and resulted in underpayments of $20 each. Effect: Applicants assessed are not charged according to the Center?s sliding fee scale and their ability to pay. Cause: Intake process manually assigned the incorrect sliding scale discount. Repeat Finding: Yes - prior year finding 2018-002. Recommendation: Management should conduct additional training for front desk staff on how to enter patients into the billing software so that the system automatically calculates a patient's sliding fee discount based on entry of family size and income provided. Views of responsible officials: The Revenue Cycle Manager (RCM) or a member of the RCM team will conduct monthly training with front desk staff. This will include everyone crucial to the RCM team including billing staff and phone operators to not only address the proper way to enter the slide but also changes and updates to insurances, checking eligibility and other processes crucial to the revenue cycle going smoothly. In addition, the training manual for the front desk will be updated and a laminated reference card will be supplied for quick reference. Monthly auditing of patients qualifying for the sliding fee will be done to determine front desk staff requiring more training. One of the two findings was a result of a system issue. As such, a system upgrade is scheduled for the Centricity system. This will automate the process that was initially manual and eliminate the potential for manual errors.

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Federal Agency: U.S. Department of Health and Human Services Federal program title: Health Centers Cluster CFDA Numbers: 93.224 and 93.527 Award Period: May 1, 2018 ? April 30, 2019 and May 1, 2019 ? April 30, 2022 Type of Finding: Compliance and significant deficiency in internal control over compliance Criteria: 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. (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: The Center assigned two patients the incorrect sliding fee discount. Questioned Costs: None Context: The condition affected two of the 40 encounters selected for testing and resulted in underpayments of $20 each. Effect: Applicants assessed are not charged according to the Center?s sliding fee scale and their ability to pay. Cause: Intake process manually assigned the incorrect sliding scale discount. Repeat Finding: Yes - prior year finding 2018-002. Recommendation: Management should conduct additional training for front desk staff on how to enter patients into the billing software so that the system automatically calculates a patient's sliding fee discount based on entry of family size and income provided. Views of responsible officials: The Revenue Cycle Manager (RCM) or a member of the RCM team will conduct monthly training with front desk staff. This will include everyone crucial to the RCM team including billing staff and phone operators to not only address the proper way to enter the slide but also changes and updates to insurances, checking eligibility and other processes crucial to the revenue cycle going smoothly. In addition, the training manual for the front desk will be updated and a laminated reference card will be supplied for quick reference. Monthly auditing of patients qualifying for the sliding fee will be done to determine front desk staff requiring more training. One of the two findings was a result of a system issue. As such, a system upgrade is scheduled for the Centricity system. This will automate the process that was initially manual and eliminate the potential for manual errors.

Corrective Action Plan

FINDINGS?FEDERAL AWARD PROGRAMS AUDITS U.S. Department of Health and Human Services 2019-002 Health Centers Cluster ? CFDA No. 93.224 and 93.527 Recommendation: Management should conduct additional training for front desk staff on how to enter patients into the billing software so that the system automatically calculates a patient's sliding fee discount based on entry of family size and income provided. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The Revenue Cycle Manager or a member of the RCM team will conduct monthly training with front desk staff as well as everyone crucial to the RCM including billing staff and phone operators to not only address the proper way to enter the slide but also changes and updates of insurances, checking eligibility and other processes crucial to the Revenue Cycle going smoothly. In addition, the training manual for the front desk will be updated and a laminated reference card will be supplied for quick reference. Monthly auditing of patients qualifying for the sliding fee will be done to determine front desk staff requiring more training. One of the two findings was a result of a system issue. As such, a system upgrade is scheduled for the Centricity system. This will automate the process that was initially manual and eliminate the potential for manual errors. Name(s) of the contact person(s) responsible for corrective action: Tiffany Robertson Planned completion date for corrective action plan: 4/30/2020

Prior Finding References

2018-002

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FY 2018-06-30

FAC accepted this audit on March 28, 2019 — management decision was due September 28, 2019.

2018-002
Special Tests & Provisions
REPEAT

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2017-002

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2018-003
Cash Management

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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FY 2017-06-30

FAC accepted this audit on March 29, 2018 — management decision was due September 29, 2018.

2017-002
Special Tests & Provisions
REPEAT

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2016-003

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FY 2016-06-30

FAC accepted this audit on March 30, 2017 — management decision was due September 30, 2017.

2016-003
Program Income

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

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2016-004
Program Income
REPEAT

GSA_MIGRATION

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GSA_MIGRATION

Corrective Action Plan

GSA_MIGRATION

Prior Finding References

2015-002

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