Utah Admin. Code R414-506-5 - Penalties and Interest
(1) If DMHF audits
a hospital's records to determine the correct discharges for the assessment for
a hospital required to file a Medicare cost report, but the hospital fails to
provide its Medicare cost report within the timeline required, DMHF shall fine
the hospital 5% of its annual calculated assessment. The fine is payable within
30 days of invoice.
(2) If DMHF
audits a hospital's records to determine the correct discharges for the
assessment because the hospital does not file a Medicare cost report and did
not submit its discharges and supporting documentation within the timeline
required, DMHF shall fine the hospital 5% of its annual calculated assessment.
The fine is payable within 30 days of invoice.
(3) If a hospital fails to fully pay its
assessment on or before the due date, DMHF shall fine the hospital 5% of its
quarterly calculated assessment. The fine is payable within 30 days of
invoice.
(4) On the last day of
each quarter, if a hospital has any unpaid assessment or penalty, DMHF shall
fine the hospital 5% of the unpaid amount. The fine is payable within 30 days
of invoice.
(5)
(a) If a hospital fails to pay its assessment
on or before the due date, DMHF shall suspend payments to the hospital until
the assessment and any fines or penalties are paid in full.
(b) DMHF shall provide written notice before
withholding payments.
(c) When DMHF
rescinds withholding of payments to a provider, it will, without notice, resume
payments according to the regular claims payment cycle.
Notes
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