Montana § 53-6-1403 - Extrapolation And Statistical Sampling Prohibited -- Exceptions
Full text of Montana Montana Code Annotated § 53-6-1403 — Extrapolation And Statistical Sampling Prohibited -- Exceptions, with citation guidance and answers to common questions.
§ 53-6-1403. Extrapolation And Statistical Sampling Prohibited -- Exceptions
Extrapolation and statistical sampling prohibited -- exceptions. (1) Except as provided in subsection (2): (a) in conducting an initial overpayment audit, the department or an auditor may not use statistical sampling extrapolation for automated reviews and may not rely on extrapolation to determine or support the amount of an overpayment determination; and (b) an overpayment determination must be based on and supported by evidence of an overpayment for each claim. (2) In an overpayment audit of a high-risk provider or a followup audit of any provider, the department or an auditor may use statistical sampling extrapolation for an automated review or may rely on extrapolation to determine or support the amount of an overpayment determination. (3) The department or an auditor may use data analysis techniques to identify claims that are most likely to contain overpayments for purposes of selecting providers or claims for overpayment audits.
Frequently Asked Questions About Montana § 53-6-1403
What does Montana Code Annotated § 53-6-1403 cover?
Section 53-6-1403 ("Extrapolation And Statistical Sampling Prohibited -- Exceptions") is part of the Montana Code Annotated, the codified statutory law of Montana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Montana § 53-6-1403?
A common citation format is "Montana Code Annotated § 53-6-1403" (Montana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Montana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Montana official source linked on this page or consult a licensed Montana attorney.
How does Montana § 53-6-1403 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Montana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Montana.