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January 29, 2013 10:03 PM

SF Doctor Settles Medicaid Case

Sioux Falls, SD

A Sioux Falls doctor agrees to pay back Medicaid dollars to put an end to a civil lawsuit with the state.

Dr. Annette Bosworth says she'll pay $5,500 and forfeit another $9,000 in Medicaid payments.

Her attorney, Joel Arends, says the billing errors which prompted this case two years ago were actually made by someone else in the clinic's billing office.

"There was no wrongdoing here. It's a highly technical process with billing errors and at the end of the day, we figured out how much the state had overpaid and we decide that she was going to pay that back," Arends said.

The State had claimed that Bosworth submitted Medicaid claims that were partially inaccurate, including claims for services provided by an unlicensed Physician Assistant on staff and others for non-covered services. In reaching the settlement, Bosworth does not admit to knowingly submitting false claims, nor is the State conceding that there are problems with its Medicaid claims process.

"Doctor Bosworth wants to put this case behind her. She's moving forward. She just opened up a new medical practice and a new clinic," Arends said.

Arends says closing the books on this civil suit with the state puts an end to two years of legal battles.

The state's Medicaid program will be fully reimbursed for the covered claims.

  • HealthBeat
  • General
  • Sioux Falls, SD
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