§ 2-702. Use of extrapolation during an audit

West's Annotated Code of MarylandHealth--GeneralEffective: October 1, 2016

West's Annotated Code of Maryland
Health--General
Title 2. Maryland Department of Health (Refs & Annos)
Subtitle 7. Use of Extrapolation in Recovery of Health Claim Overpayments (Refs & Annos)
Effective: October 1, 2016
MD Code, Health - General, § 2-702
§ 2-702. Use of extrapolation during an audit
Currentness
In general
(a) Subject to the requirements of this subtitle, the Inspector General, or a contractor or an agent acting on behalf of the Inspector General, may use extrapolation during an audit to recover an overpayment from a provider if:
(1) The federal government has also conducted an audit of the program for overpayment; and
(2) The monetary recovery amount determined to be due by the program to the federal government is based on the federal government's use of extrapolation.
Limits on audit
(b) An audit conducted by the Inspector General or a contractor or agent acting on behalf of the Inspector General under subsection (a) of this section shall be limited to the scope of the federal audit, including claims for the same audit time period and the same type of claims.

Credits

Added by Acts 2016, c. 136, § 1, eff. Oct. 1, 2016.
MD Code, Health - General, § 2-702, MD HEALTH GEN § 2-702
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document