Utah Admin. Code R414-24-4 - Self-Audited Claims
(1) Providers must
identify and report any overpayments within three years of the service date.
Accordingly, providers or their contractors must complete self-audits of claims
and submit claim corrections within three years of the service end
date.
(2) Providers are responsible
for their claim adjustments. Providers must attempt to make adjustments on
their own before requesting Medicaid staff to make claim corrections. If a
claim is in a suspended status, Medicaid will assign a worker to process the
claim according to the policy for the edit.
(3) Providers identifying overpayments beyond
the deadline noted in Subsection (1) must contact the Office of the Inspector
General of Medicaid Services to resolve the overpayment.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.