Wyoming Medical Center in Casper has agreed to pay $2.7 million to settle Medicare fraud allegations stemming from a 2007 whistleblower suit.
Former WMC employee Gale Bryden alleged that WMC submitted reimbursement requests that were inconsistent with patients' treatment records, changed the admission status of patients from outpatient to inpatient status without a physician order and billed Medicare for unnecessary admissions.
The government conducted an investigation into the hospital, finding evidence to support some of the claims. WMC's settlement specifically resolves claims that it submitted inpatient claims to Medicare for services performed in outpatient settings, inpatient claims for hospital stays for which there was no record of a physician ordering inpatient-level care and inpatient claims for patients who didn't meet inpatient admission requirements.
WMC cooperated with investigators in making records and witnesses available, but the hospital denied any wrongdoing.
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Former WMC employee Gale Bryden alleged that WMC submitted reimbursement requests that were inconsistent with patients' treatment records, changed the admission status of patients from outpatient to inpatient status without a physician order and billed Medicare for unnecessary admissions.
The government conducted an investigation into the hospital, finding evidence to support some of the claims. WMC's settlement specifically resolves claims that it submitted inpatient claims to Medicare for services performed in outpatient settings, inpatient claims for hospital stays for which there was no record of a physician ordering inpatient-level care and inpatient claims for patients who didn't meet inpatient admission requirements.
WMC cooperated with investigators in making records and witnesses available, but the hospital denied any wrongdoing.
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