May 30, 2014

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Article

State Recovers Nearly $320,000 in Wrongly Billed Medicaid Expenses

Press Release

May 30, 2014

Salt Lake City – The Utah Office of Inspector General (Utah OIG) recovered $319,824.30 in taxpayer funds with a judgment that was finalized by Utah’s Third District Court on Wednesday.

The judgment brings a two-year investigation of Storm Ridge Ranch, located in Monroe, Utah, to an end. The basis of the Utah OIG complaint was that services billed to Medicaid by Storm Ridge failed to reflect the services actually provided, resulting in overpayments exceeding a quarter million dollars.

The Utah OIG’s mission is to safeguard taxpayer assets through the reduction of waste, abuse and fraud within the Utah Medicaid system. “Our office spends a considerable amount of time supporting Medicaid providers,” said Inspector General Lee Wyckoff. “But we also require they function within the guidelines of the law.”

Storm Ridge Ranch, a residential treatment center, provided services to young men and women, ages 12 to 18, who have emotional and behavioral issues.

The Utah OIG works with stakeholders throughout the State of Utah by providing training to health care providers to help ensure they are fairly reimbursed and are familiar with proper billing procedures. “Our office engages in educating and communicating with Medicaid providers to help avoid these problems before they find their way into the court system,” Wyckoff said.

Suspected Medicaid waste, abuse or fraud can be anonymously reported to the OIG at (855) 403-7283.

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