Definitions.

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    (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.


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