KHURANA
LAW FIRM
MEDICARE WHISTLEBLOWER
LAWYER
Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Alabama
KHURANA
LAW FIRM
MEDICARE WHISTLEBLOWER
LAWYER
Qui tam attorney Alabama Medicare and Medicaid fraud cost Alabama taxpayers billions of dollars each year. While many medical service providers and drug companies are honest and work within the system, there are those who don’t. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file lawsuits on behalf of the government to help report these kinds of scams.
The state and federal governments place a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks qui tam attorney Alabama to come forward to report fraud. People like you.
Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Alabama.
At Khurana Law Firm, P.C., as experienced qui tam attorney Alabama Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping forward is challenging and many things might be at stake. When you come to us, your case is kept in the strictest confidence .
Qui tam attorney Alabama and with our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, and work tirelessly with you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.
Medicare Advantage Fraud
Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:
Upcoding
The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.
Chart reviews
The MA provider reviews charts to add additional diagnosis codes.
Chart mining
The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.
Adding unsupported diagnosis
Coders are directed to add codes based on other information in the chart.
Not removing old diagnosis codes
The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.
Sham RADV audits
The MA provider reviews charts to add additional diagnosis codes.
Incentivizing doctors
The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.
Pre-filling charts
Coders are directed to add codes based on other information in the chart.
If you suspect Medicare Advantage Fraud, you can report it here.
While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry.
Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.
Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program.
Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.
Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions.
The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity.
Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.
- If you are a healthcare worker
- If you are employed in an office of a Medicare provider
If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation.
If you’ve become aware of fraudulent activity involving Medicare or Medicaid, you require the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and quickly. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter – do not attempt to do this alone, we are here to help.
At Khurana Law Firm, P.C., we have years of practical experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid fraud. We will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can be of help.
