University of Utah Health is committed to operating in compliance with legal requirements. The Compliance Services unit supports the University of Utah Health by educating the Health community about our compliance obligations, advising on the development and evolution of workflows and procedures to ensure compliance obligations are appropriately considered, and auditing to identify opportunities for improvement.
Compliance Services is organized into three core teams:
The Billing Compliance team assists with institutional efforts to meet billing requirements of government health care programs. The Billing Compliance team provides training and education on coding and other requirements applicable to the generation and submission of claims for clinical items or services. The Billing Compliance team monitors clinical billing activity through auditing and trend analysis in an effort to identify issues that may be a compliance risk. The Billing Compliance team also oversees responses to all external audits involving clinical billing to government health care programs.
Clinical Research Compliance and Education:
The Clinical Research Compliance and Education team facilitates processes, provides training and education, and engages in oversight activities designed to ensure that clinical services associated with human subjects research are charged to the correct party, that claims submitted to government health care programs comply with the requirements of the applicable program, and that human subjects research complies with expectations imposed by the federal Food and Drug Administration. The Clinical Research Compliance and Education team manages the University Tracking of Clinical Research (uTRAC) software, which plays a crucial role in efforts to meet clinical research compliance obligations.
The Information Privacy team oversees and assists with institutional efforts to meet privacy expectations imposed by the Health Insurance Portability and Accountability Act (HIPAA). The Information Privacy team provides training and education to the Health Sciences community, develops the Notice of Privacy Practices, responds to privacy concerns raised by patients or others, and oversees internal monitoring and auditing activities designed to ensure our workforce is accessing protected health information appropriately. Additionally, the Information Privacy team responds to inquiries and investigations pursued by the Office of Civil Rights within the federal Department of Health and Human Services.