Sec. 3. As used in this chapter, "extrapolation audit" means an audit of a sample of claims submitted by a pharmacy to a third party payer, the results of which are used to estimate audit results for a larger group of unaudited claims submitted by the pharmacy to the third party payer.
As added by P.L.7-2009, SEC.1.
Structure Indiana Code
Title 25. Professions and Occupations
Article 26. Pharmacists, Pharmacies, Drug Stores
25-26-22-1. Definitions Applicable to Chapter
25-26-22-3. "Extrapolation Audit"
25-26-22-4.2. Third Party Payer Onsite Audit Limitations
25-26-22-5. Audit Requirements
25-26-22-6. Written Audit Reports
25-26-22-7. Clerical Errors; Fraud; Recoupment of Payment
25-26-22-8. Overpayment and Underpayment Audit Findings
25-26-22-9. Audit Report; Distribution; Interest Accrual
25-26-22-10. Prohibition of Extrapolation Audits for Calculating Recoupments or Penalties
25-26-22-11. Application of Chapter for Investigative Audits