Piedmont Access to Health Sciences, Inc.

Controls have been strengthened to ensure that the front desk accurately enters applicants’ income and family size into the ECW system when determining eligibility for the sliding fee schedule. A member of the Finance Department is reviewing all sliding fee applications. These policies and procedures have been implemented to improve accuracy and compliance. Policy 01-03-029 – Sliding Fee Audit Policy was implemented on June 1, 2025. This policy includes the following: The Compliance Officer conducts a monthly audit, with audit results submitted to the Risk Manager on a quarterly basis. The Front Desk Trainer provides additional training to any employee who receives a failing score on an audit. This training is documented and signed off by the employee, the Front Desk Trainer, and the employee’s supervisor. Disciplinary actions are as follows: 1. First occurrence – One-on-one training 2. Second occurrence – Verbal warning and additional training 3. Third occurrence – Written warning 4. Fourth occurrence – Up to and including termination Mandatory training was conducted on January 14th and 15th and included all site managers, operations managers, the CFO, and the COO. Additional Controls Implemented: Effective July 1, 2025, all sliding fee applications are reviewed by a member of the Finance Department. The front desk is required to make any corrections or changes identified during the finance review. In addition, a task force has been formed to ensure appropriate follow-up is completed and to identify new opportunities to improve accuracy and compliance for all sliding fee patients. The front desk has also been provided with an Excel-based tool to assist with accurately entering patient income.

2024-001

Controls have been strengthened to ensure that front desk accurately enters applicant's income and family size into ECW for determining eligibility for the sliding fee schedule. A new policy and procedure will be implemented as follows: To esnure that all staff are properly trained and following Policy 02-02-013 Patients applying for a sliding fee. A mandatory training will be done January 14th and 15th to include all site managers, operations managers, CFO, and COO. The compliance officer will perform a monthly audit. The audit will be submitted to the risk manager quarterly. The front desk trainer will provide additional training to any person who receives a fail on the audit. This training will be signed off by the employee, front desk trainer, and their supervisor. Discipline will be the following: 1st occurrence one on one training 2nd occurrence a verbal warning and additional training 3rd occurrence a written warning 4th occurrence up to termination

2020-001 Contact Person: Tori Lester