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Power of attorney Massachusetts Medicare and Medicaid fraud cost taxpayers billions of dollars every year. While many medical service providers and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit claims on behalf of the government to help report these kinds of scams.
The state and federal government put a a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government depends on every day people in power of Attorney Massachusetts to come forward to report scams. People like you.
At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .
Our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.
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:
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.
The MA provider reviews charts to add additional diagnosis codes.
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.
Coders are directed to add codes based on other information in the chart.
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.
The MA provider reviews charts to add additional diagnosis codes.
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.
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 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.
When you become aware of Medicare fraud, you need the advice of an experienced whistleblower lawyer who can ensure that your claim is fully investigated and filed promptly and accurately. By working with an experienced attorney you are increasing the chances that the government will intervene, thus increasing your chances of a reward. Reporting Medicare fraud is a complex matter – don’t try to do this alone.
At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to your corner to help combat Medicare fraud. We are happy to review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we represent you in a qui tam lawsuit to report the fraud and enable you to collect a reward. All whistleblower work is on contingency, so you pay nothing until there is a recovery. Contact us today to learn how we can help.
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