Utah Office of Inspector General (UOIG) has developed tools and methods to efficiently conduct oversight of the Utah Medicaid program. One of those tools is known as a Self Audit. They are an important oversight tool that help to achieve the UOIG mission of identifying root problems that contribute to improper payments.
The Self Audit program was developed to help build partnerships with the provider community that better protect resources. It allows a provider to see the claims review process through the eyes of the UOIG. If a suspected issue is identified early in the oversight process, it may be a good candidate for the Self Audit program. Rather than completing a full investigation, a Self Audit letter is sent out to the provider asking them to conduct a self assessment of the claim. If the provider identifies an error in the claim, the provider can then self-disclose the error and institute corrective actions to prevent future improper payments. This allows for a provider driven solution.
HHS Office of Inspector General and other state programs are utilizing Self Audits as a way to identify a great number of payment errors. UOIG has continued to innovate by identifying these tools and incorporating them into the oversight toolkit.
For more information about Self Audits, contact the UOIG PIO at [email protected].
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