The state of South Dakota has reached a settlement with a Sioux Falls doctor over a Medicaid billing dispute.
Attorney General Marty Jackley says in a statement that Annette Bosworth has agreed to pay about $5,500 in the civil settlement. The state claimed that Bosworth submitted reimbursement claims to Medicaid that contained inaccurate information and that she submitted claims for non-covered services.
Specifically, Bosworth provided treatments involving Venofer to patients who were under the age of 19, and DSS considers such services as non-covered services. Bosworth failed to indicate in the patients' records that oral iron therapy was rejected before administering Venofer.
Pursuant to the settlement, Bosworth has agreed to the net amount of $5,529.34 to the state of South Dakota. The Medicaid program will be fully reimbursed for the covered claims.
The case was handled by the South Dakota Attorney General's Medicaid Fraud Control Unit, with assistance from the federal Department of Health and Human Services - Office of Inspector General, and the South Dakota Department of Social Services.
