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(l) If an independent certified audit under 42 U.S.C. 1396r-4(j)(2) and 42 C.F.R. 455.300 — 455.304 identifies an overpayment for the payment year under review, the department will immediately issue a written determination based on the audit to recoup the amount of the overpayment from the hospital. A hospital aggrieved by a recoupment under this subsection may request reconsideration by filing a request for reconsideration with the department. The department staff that oversees Medicaid payment rates may reconsider recoupment of a DSH overpayment upon the department staffs own motion or at the hospital’s request. A hospital seeking reconsideration must file a request for reconsideration not later than 30 days after the date of mailing the written determination to the hospital or providing the hospital the determination by electronic mail. The department staff shall deny a request for reconsideration as untimely if the request is filed later than 30 days after the date of mailing the written determination to the hospital or providing the hospital the determination by electronic mail. A request for reconsideration under this subsection must be filed at the Anchorage location of the department office that oversees Medicaid payment rates. The department’s decision on reconsideration is the department’s final administrative action on a reconsideration request under this subsection. If the department does not issue a decision on reconsideration 30 days after receiving the request, the request is considered denied. The denial is the department’s final administrative action on a reconsideration request under this subsection. However, the department may notify the hospital that the 30-day period for issuing a decision on reconsideration is tolled if the department needs to request additional information from the hospital or consult with other state or federal agencies. (m) In this section,

(1) “adjusted inpatient days” means patient days calculated as the product of patient days multiplied by total hospital inpatient and outpatient charges, divided by hospital inpatient charges;

(2) “admission” means admission to a hospital for inpatient care;

(3) “encounter” means a unit of service, visit, or face-to-face contact that is a covered service under an agreement with the department as required under (d)(3), (4), (5), (7), (8), (9), (10), or (11) of this section;

(4) “inpatient days” means patient days at licensed hospitals that are calculated

(A) to include patient days related to a hospitalization for acute treatment of the following:

(i) injured, disabled, or sick patients;