Montana Title 53. Social Services and Institutions § 53-6-1403. Extrapolation and statistical sampling prohibited--exceptions

(1) Except as provided in subsection (2):

(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.