NAMPI Member Portal | John Slade | Activity https://member.nampi.net/members/jsladeutah-gov/activity/ Activity feed for John Slade. Thu, 30 Apr 2026 13:48:24 -0400 https://buddypress.org/?v=2.14.4 en-US 30 hourly 2 dc68e702eab2b90fd8d5bf633e9f5109 John Slade replied to the discussion NASPO in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/naspo-2/#post-2242 Tue, 14 Nov 2023 16:38:20 -0500 Reply to NASPO

Utah just used NASPO to procure a case management system.

]]> c0ef00a3fc5911e3d02f9dfea101d39c John Slade posted an update: Is any state do a lot of provider self audit. Would […] https://member.nampi.net/news-feed/p/2326/ Mon, 07 Aug 2023 23:10:50 -0400 Is any state do a lot of provider self audit. Would you mind sending me your correspondence

]]> 0 c9c62b369972b2bca28a74668b5ba283 John Slade posted an update: Does anyone have a similar situation: We are having […] https://member.nampi.net/news-feed/p/2309/ Tue, 11 Jul 2023 20:43:48 -0400 Does anyone have a similar situation: We are having a market place insurance agent put Medicaid people on a high level marketplace plan and coach the member to indicate they already are on Medicaid so they end up with both. The provider bills a higher amount to the Medicaid managed care under the market place plan

]]> 0 64cefe943258dd5d2a10859c5dae1445 John Slade replied to the discussion Balance Billing in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/balance-billing/#post-1939 Wed, 01 Mar 2023 16:52:09 -0500 Reply to Balance Billing

We call the provider explain the Utah Medicaid rules and follow up with a letter the requires them to pay pack the member, If we have repeated complaints of a provider we can refer them for disenrollment from Medicaid.

]]> 4f18f28f80950ffe99f05a71d7cc9401 John Slade replied to the discussion New York Times article: beneficiary billing in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/new-york-times-article-beneficiary-billing/#post-1937 Tue, 28 Feb 2023 20:13:04 -0500 Reply to New York Times article: beneficiary billing

We have the following provider in Utah

Providence Health System, the dba is Providence Tarzana Med Cntr contract number 510216589001 NPI 1821250762 Providence Health System, the dba is Providence Tarzana Med Cntr contract number 510216589001 NPI 1821250762

]]> d2194504b433b4b436a5df5d4188059e John Slade replied to the discussion Posting Final Audits in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/posting-final-audits/#post-1720 Tue, 16 Aug 2022 21:52:41 -0400 Reply to Posting Final Audits

I could not get the link to work. I am sure it is user error on my part

]]> 7b9cffdd95b352b42ba2c26bbc82723e John Slade replied to the discussion Hospital Audits in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/hospital-audits/#post-1719 Tue, 16 Aug 2022 21:49:18 -0400 Reply to Hospital Audits

We audit

1 day stays

Detox stays

Random Sample of all stays

RDS

Rehab

Match hospital claim to surgeon bill to ensure correct coding

]]>