Utah Admin. Code R414-32-4 - Discrepancies Between Services and Charges
(1)
If there is no documentary evidence to support charges for ancillary services,
the Department shall notify the hospital in writing of the
discrepancy.
(2) If the hospital,
within 30 days of notification, compiles and submits documentary evidence to
support the charges, then the Department shall consider the evidence sufficient
to provide payment.
(3) If the
hospital does not place the evidence in the medical record and submit that
evidence to Medicaid within 30 days after notification, the Department will not
reimburse the hospital nor accept subsequent documentation for the unsupported
charges.
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.