Collusion among providers occurs when competing providers (competing groups) agree on fees charged & capitation rates accepted to benefit the entire group. Providers could come together to agree on fees to charge or behavior to take that will be of benefit to the entire group. This results in all providers having a better bottom line at the cost of the Utah Medicaid program and taxpayers of Utah. Colluding to benefit the competing providers is a serious violation and unethical behavior. Never fall for collusion in any form. Report suspected collusion to the Utah Office of Inspector General for investigation.
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