760 IAC 5-3-5 Clerical errors; fraud; recoupment of payment

Sec. 5. (a) A clerical or record keeping error, such as a typographical error, scrivener's error, or computer error related to or contained in a document that is necessary to the conduct of an audit, does not constitute fraud without proof of intent to commit fraud. (b) If a clerical error is identified during the course of an audit, the pharmacy must be allowed to obtain a prescription that corrects the clerical error from the prescriber. (c) A clerical or record keeping error may not result in the recoupment of payment if the patient has received the drug for which the claim was submitted.