HB1314

House Bill 1314 establishes the 'Arkansas Medical Audit Bill of Rights Act,' creating a standardized set of regulations for audits of healthcare providers conducted by insurance companies, third-party payors, or entities representing a responsible party. The bill mandates advance notice for audits, requires that audits involving professional judgment be performed by peers, and limits the frequency and scope of audit reviews. It prohibits the use of extrapolation in calculating recoupments and establishes strict timelines for reporting and appealing audit results. The legislation clarifies that clerical or recordkeeping errors do not constitute fraud in the absence of intent. Providers are granted at least 60 days to address discrepancies and pursue an internal appeals process before any recoupment of funds occurs. The bill excludes audits involving the Arkansas Medicaid Program or those involving allegations of fraud or abuse.