EIN: 381908328
UEI: JBQ9L5M95545
Data as of August 22, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 8, 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 8, 2023 (1172 days ago).
What is a management decision? →We tested 40 sliding fee encounters and noted that 2 of 40 sliding fee encounters tested had did not have sliding fee applications and 3 out of 40 patients were discounted the wrong amount. Questioned Costs: None Cause and Effect: The Organization failed to verify sliding fee applications were obtained and properly approved for all patients receiving discounts and incorrectly applied sliding fee discounts to charges. Recommendation: We recommend that sliding fee applications be completed and properly approved for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. In addition, the Organization could consider doing sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Show full finding ▾Hide full finding ▴2022-001 ? Significantly Deficiency and Noncompliance ? Special Tests ? Sliding Fee Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient?s ability to pay. Condition: We tested 40 sliding fee encounters and noted that 2 of 40 sliding fee encounters tested had did not have sliding fee applications and 3 out of 40 patients were discounted the wrong amount. Questioned Costs: None Cause and Effect: The Organization failed to verify sliding fee applications were obtained and properly approved for all patients receiving discounts and incorrectly applied sliding fee discounts to charges. Recommendation: We recommend that sliding fee applications be completed and properly approved for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. In addition, the Organization could consider doing sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Federal Award Findings Finding number 2022-001 Significant Deficiency and Noncompliance ? Special Tests ? Sliding Fee We concur with this finding. We acknowledge that there were sliding fee discounts given without the appropriate/complete documentation being filed in the patients? chart. We have had a practice of performing internal sliding fee audits by clinical site and sharing the results with our Risk / Corporate Compliance committee and Site Managers. During COVID, some of this auditing practice fell away. Additionally, the increased usage of telehealth posed challenges in collection of patients documents, including the sliding fee and presumptive sliding fee applications. The other issue that has caused complications in this workflow is the turnover of several employee positions. There existed a Front Desk Trainer position who was integral in the training of our front desk staff responsible for the completion of the sliding fee applications. The incumbent left the position and was not replaced. This has left the role accountable for the training and implementation of such protocols unfilled. A workgroup was established of key individuals including end users to process improve this issue and other?s experienced by the front desk/revenue cycle workflow. The group concluded that the soon-to-onboard Director of Patient Support Services will be the role to oversee the entire front desk workflow with regard to billing and sliding fee. The role was filled in late November. Action Completion 1. Review and edit the sliding fee application for patient literacy and to improve the clarity of instructions for patients and employees. DONE 2. Continue internal audits but increase frequency to every quarter. (beginning January 2023) 3/31/2023 3. Establish cross functional team to analyze front desk workflow and set accountability for the administration of our sliding fee application. DONE 4. Hire Director of Patient Support Services DONE 5. Develop streamlined audit reporting tool. DONE 6. Continue to report out Sliding Fee Audit results quarterly. 3/31/2023 7. Develop an exception report tool to identify sliding fee patients with no slide application on file. 3/31/2023 Responsible Staff/Contact: Amy Evans, CMA, Chief Financial Officer; Email: aevans@glbhealth.org; Voice: 989-759-6438
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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