Louisiana HB786 prohibits healthcare providers from using extrapolation in audits and claim payments.
Louisiana HB786 amends existing law to strictly prohibit healthcare providers from using extrapolation in audits and claim payments. Extrapolation, defined as a mathematical process used to estimate audit results for a larger batch of claims, is now banned. Payments or refunds must be based on actual overpayments or underpayments, not on extrapolated estimates. The law also includes technical changes and makes clear that any contractual clause attempting to waive these provisions is void.
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