Sanford Health, Sanford Clinic, and Sanford Medical Center Agreed to Pay $25,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Telemedicine Services that Did Not Meet Applicable Requirements

After they disclosed conduct to OIG pursuant to their CIA, Sanford Health, Sanford Clinic, and Sanford Medical Center (collectively, “Sanford”), South Dakota, entered into a $25,842 settlement agreement with OIG.  OIG 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, OIG alleged that Sanford submitted claims for services that: (1) were scheduled for times when the physician was out of the country and without access to Sanford’s approved telemedicine platform; (2) did not involve interactive two-way video and audio as required; and (3) purported to be for multiple family members when the physician had only spoken to one family member.

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