Indiana Code 12-15-13.5-3. Audit period
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Sec. 3. A recovery audit under this chapter must include the following:
(2) If the office or a managed care organization discovers information that may indicate a credible allegation of fraud, abusive billing practices, or a claims process error rate greater than thirty percent (30%), the office or the managed care organization may increase the audit look back period to a total of seven (7) years.
(1) Subject to subdivision (2), for audits initiated after June 30, 2019, the audit look back period must be three (3) years and one hundred-eighty (180) days.
Terms Used In Indiana Code 12-15-13.5-3
- Allegation: something that someone says happened.
- Fraud: Intentional deception resulting in injury to another.
- office: refers to the office of the secretary of family and social services. See Indiana Code 12-15-13.5-1
As added by P.L.134-2019, SEC.2.