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§ 12-15-13-5-2 — Indiana Law | CourtGPT
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  4. Title 12 - Human Services/
  5. Article 15 - Medicaid/
  6. Chapter 13.5 - Medicaid Recovery Audits12-15-13.5-1. "Office"/
  7. § 12-15-13-5-2
Indiana Legal Code

§ 12-15-13-5-2

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(b) The office shall contract with a recovery auditing entity to perform the recovery audit. A contract with a recovery auditing entity must include the following services:(1) Review of claims submitted by providers or other individuals furnishing items and services for payment by the Medicaid program to determine whether overpayment or underpayment occurred.(2) Recovery of identified overpayments and payment to providers of identified underpayments.(c) A managed care organization may either perform the recovery audit internally or contract with a recovery auditing entity to perform the recovery audit. A recovery audit by a managed care organization, whether performed internally or through a contract with a recovery auditing entity, must meet the requirements of subsection (b) and section 3 of this chapter.As added by P.L.134-2019, SEC.2.