Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Alaska

Medicaid and Medicare fraud cost Alaska taxpayers billions of dollars annually. While many medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to file lawsuits on behalf of the government to help report these kinds of scams.

The federal and state governments put a a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it counts on every day people in Alaska to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Alaska.

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is challenging and many things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work tirelessly with both you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Alaska

Medicaid fraud and abuse cost taxpayers across the country billions of dollars each year. Because of this, states rely on whistleblowers to come forward with information concerning Medicaid fraud against the state and federal government. 

 

In Alaska, the Alaska Medical Assistance False Claim and Reporting Act holds those who defraud the State’s healthcare program criminally accountable and also liable through civil actions. Those who are aware of fraudulent activity can bring it to the attention of the State, whereby the State can criminally prosecute and hold the party/entity liable for up to three times the damages sustained by the state, penalties of between $5,500 and $11,00 per violation, and reasonable litigation costs. The individual who reports Medicaid fraud in Alaska is protected from employer retaliation. 

 

Under the federal False Claims Act, a private whistleblower who is aware of Medicaid fraud in Alaska is afforded the right to bring a qui tam lawsuit for the government’s share of the damages and the ability to collect a reward for their efforts. Under the federal False Claims Act, a whistleblower with evidence of fraud may be awarded between 15 and 25 percent of the recovery if the government has joined the suit and 25 to 30 percent of the recovery if the whistleblower litigated the suit alone. 

 

Furthermore, under the federal False Claims Act, the whistleblower is protected from any employer retaliation as a result of their reporting. 

Liability of the Defendant in Alaska

The defendant in a whistleblower lawsuit under the federal False Claims Act may be ordered to pay up to three times the actual damages to the government in addition to fines of between $5,500 and $11,000 for each violation.

Statute of Limitations in Alaska

Individuals filing a whistleblower lawsuit in the state of Alaska are required to file their complaint within ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have become aware of Medicaid fraud in Alaska, you may be able to file a qui tam lawsuit under the federal False Claims Act. The whistleblower attorneys at Khurana Law Firm, P.C. can advise you of your rights and protections and guide you in filing a whistleblower lawsuit. Contact us for a confidential, no-cost consultation to discuss your case. 

What is

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.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

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. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

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. 

Who defrauds Medicare?

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.

How do people and companies commit Medicare fraud?

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. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

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.

How can I help?

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. 

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WORKING WITH An Experienced WHISTLEBLOWER LAWYER

When you become aware of fraudulent activity that may involve Medicare or Medicaid, you may need the advice of a skilled whistleblower lawyer, someone who can make sure that your claim is fully examined and submitted accurately and immediately. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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