Sioux Falls, S.D.-based Sanford Health, Sanford Clinic and Sanford Medical Center agreed to pay a $25,842 settlement for allegedly submitting claims for telemedicine services that did not meet applicable requirements.
The HHS Office of Inspector General alleged that Sanford submitted claims to Medicare, Medicaid, Tricare and the Health Resources and Services Administration's COVID-19 Uninsured Program for telemedicine services provided by a physician that did not "meet applicable requirements."
Specifically, the OIG alleged that Sanford submitted claims for services that were scheduled for times when the physician was out of the country and without access to Sanford's approved telemedicine platform.
The OIG also alleged that the telemedicine visits did not involve interactive two-way video and audio as required by law and claimed to be for multiple family members when the physician had only spoken to one family member.