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<section article="ghg" article_name="Health - General" number="2-701" title_number="2" title_name="Maryland Department of Health" subtitle_number="7" subtitle_name="Use of Extrapolation in Recovery of Health Claim Overpayments">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Claim” has the meaning stated in § 2–501 of this title.</text>
  </level>
  <level label="c">
    <text>“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.</text>
  </level>
  <level label="d">
    <text>“Federal government” means an agency of the United States government or a contractor retained by the agency of the United States government.</text>
  </level>
  <level label="e">
    <text>“Overpayment” means a payment that:</text>
    <level label="1">
      <text>Is made by the Department to a provider for services or goods for which the provider submitted a claim to the Department;</text>
    </level>
    <level label="2">
      <text>Is found to be incorrect; and</text>
    </level>
    <level label="3">
      <text>Results in a payment greater than that to which the provider is entitled.</text>
    </level>
  </level>
  <level label="f">
    <text>“Program” has the meaning stated in § 2–501 of this title.</text>
  </level>
  <level label="g">
    <text>“Provider” has the meaning stated in § 2–501 of this title.</text>
  </level>
  <level label="h">
    <text>“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.</text>
  </level>
  <level label="i">
    <text>“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.</text>
  </level>
</section>
