In Audit
Jul 1st, 2014
By Julie Appleby Kaiser Health News Staff Writer Jun 30, 2014 This KHN story also ran in . Reprinted by permission of Kaiser Health News  www.kaiserhealthnews.org SALT LAKE CITY – When a car rolls off an assembly line, the automaker knows exactly what parts, labor and facilities cost.  Not so in health care, and now ...
Apr 16th, 2013
Intermountain Health Care Inc., the largest health system in Utah, agreed to pay the United States $25.5 million to settle Stark Statute and False Claims Act violation claims. The allegations are for “engaging in improper financial relationships with referring physicians,” according to a U.S. Department of Justice (DOJ) Press Release on April 3. The alleged relationships involved 209 ...
In Billing
Jul 26th, 2012
Aarches Community Health Care, a consumer operated and oriented plan (CO-OP) in Utah, received an $85,400,303 loan from the Centers for Medicare & Medicaid Services (CMS).  The Beehive state CO-OP is the 16th non-profit, consumer-oriented CO-OP to receive loans so far. Update: CMS awarded on July 27 a $69,396,000 loan to Colorado Health Insurance Cooperative, Inc. ...
In Audit
Jun 29th, 2012
Alaska’s Department of Health & Human Services (DHSS), the state’s Medicaid agency, will pay $1.7 million to the U.S. Department of Health & Human Services (HHS) after reporting a USB hard drive containing personal health information (PHI) was stolen from a state employee’s car. This is the first fine levied by the Office of Civil Rights ...
Apr 12th, 2012
An improperly secured server maintained by the Utah Department of Technology Services (DTS) was hacked into on March 30, compromising personal health information (PHI) of thousands of people. The victims are likely to be Medicaid or Children’s Health Insurance Program (CHIP) recipients who have visited a health care provider in the past four months, and ...