Hospital pays $1.6 million to settle claims allegations

February 26, 2018

BRATTLEBORO, Vt. (AP) — Federal prosecutors say Brattleboro Memorial Hospital has paid $1.6 million to the federal government and state of Vermont to resolve allegations that it violated the federal False Claims Act.

The U.S. attorney’s office for Vermont said Monday that from about January 2012 to September 2014 the hospital knowingly submitted or caused to be submitted a number of outpatient laboratory claims without the documentation necessary for Medicare and Medicaid reimbursement.

The hospital says the clinicians’ orders for lab tests did not appear to adequately document the diagnosis code included on the billing claim as required.

The settlement announced Monday is not an admission of liability by the hospital or a concession by the United States or state of Vermont that their claims are not well founded.

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