Medicare Compliance Review of Sanford USD [University of South Dakota] Medical Center in Sioux Falls for Calendar Years 2010 and 2011

The Sanford USD [University of South Dakota] Medical Center (the Hospital) complied with Medicare billing requirements for 211 of the 216 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining five claims, resulting in overpayments totaling $12,000 for calendar years 2010 and 2011. Although the Hospital's controls were adequate to prevent incorrect billing of the vast majority of the Medicare claims that we reviewed, those controls did not prevent the errors we noted.