Idaho Code § 41-6605: Extrapolation audit prohibited.
Where this section sits in the code
- TITLE 41 INSURANCE
- CHAPTER 66 FAIR PHARMACY AUDITS ACT
(1) As used in this section, "extrapolation audit" means an audit of a sample of prescription drug benefit claims submitted by a pharmacy to the person or entity conducting an audit that is then used to estimate audit results for a larger batch or group of claims not reviewed by the auditor.
(2) No person or entity may conduct an extrapolation audit unless otherwise required by federal law or federal plans. A person or entity conducting an audit shall not use the accounting practice of extrapolation in calculating recoupments or penalties for audits.
Collected 2026-09-04T13:18:24Z. Source file · JSON