Md. Code, Health - General § 2-701
This is the official text of Md. Code, Health - General § 2-701, part of Maryland’s Code, Health - General — covers public health regulation.
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§2–701.
Official statutory text
(a) In this subtitle the following words have the meanings indicated.
(b) “Claim” has the meaning stated in § 2–501 of this title.
(c) “Extrapolation” means the process of estimating an unknown value by projecting, with a calculated precision or margin of error, the results of the review of a sample to the universe from which the sample was drawn using a statistically valid sampling methodology.
(d) “Federal government” means an agency of the United States government or a contractor retained by the agency of the United States government.
(e) “Overpayment” means a payment that:
(1) Is made by the Department to a provider for services or goods for which the provider submitted a claim to the Department;
(2) Is found to be incorrect; and
(3) Results in a payment greater than that to which the provider is entitled.
(f) “Program” has the meaning stated in § 2–501 of this title.
(g) “Provider” has the meaning stated in § 2–501 of this title.
(h) “Statistically valid sampling methodology” means a methodology used for extrapolation that has a confidence level of 90% or greater and is validated by a statistician who possesses at least a master’s degree in statistics.
(i) “Universe” means a defined population of claims submitted by a provider to the Department and paid to the provider by the Department during a specified time period.
(b) “Claim” has the meaning stated in § 2–501 of this title.
(c) “Extrapolation” means the process of estimating an unknown value by projecting, with a calculated precision or margin of error, the results of the review of a sample to the universe from which the sample was drawn using a statistically valid sampling methodology.
(d) “Federal government” means an agency of the United States government or a contractor retained by the agency of the United States government.
(e) “Overpayment” means a payment that:
(1) Is made by the Department to a provider for services or goods for which the provider submitted a claim to the Department;
(2) Is found to be incorrect; and
(3) Results in a payment greater than that to which the provider is entitled.
(f) “Program” has the meaning stated in § 2–501 of this title.
(g) “Provider” has the meaning stated in § 2–501 of this title.
(h) “Statistically valid sampling methodology” means a methodology used for extrapolation that has a confidence level of 90% or greater and is validated by a statistician who possesses at least a master’s degree in statistics.
(i) “Universe” means a defined population of claims submitted by a provider to the Department and paid to the provider by the Department during a specified time period.
Status: in_force · Read it on the official government site
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