Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Anchorage, Alaska

Medicare and Medicaid fraud cost Alaska taxpayers billions of dollars each year. Although most medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys can help healthcare professionals to file suits on behalf of the federal or state government to report this type of fraud.

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

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Anchorage, Alaska

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that stepping forward is difficult and many things might be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly with you and the federal or state government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Anchorage, Alaska

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

 

In Anchorage, Alaska, the Alaska Medical Assistance False Claim and Reporting Act holds those who defraud the State’s health care program criminally accountable and also liable through civil actions. Those who know of fraudulent activity can bring it to the attention of the State, where the State can criminally prosecute and hold the party/entity responsible for approximately 3 times the damages sustained by the state, penalties of in between $5,500 and $11,00 per violation, and reasonable lawsuits costs. The person who reports Medicaid fraud in Alaska is also protected from company retaliation.

 

Under the federal False Claims Act, a private whistleblower who knows of Medicaid fraud in Alaska is afforded the right to bring a qui tam claim for the government’s share of the damages and the capacity to collect a reward for their efforts. Under the federal False Claims Act, a whistleblower with evidence of fraud might be awarded in 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 prosecuted 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 Anchorage, Alaska

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

Statute of Limitations in Alaska

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

Working With an Experienced Whistleblower Attorney

If you have learned of Medicaid fraud in Alaska, you might have the ability to submit a qui tam claim under the federal False Claims Act. The whistleblower attorneys at Khurana Law Firm, P.C. can advise you of your rights and protections under the law as well as guide you in submitting a whistleblower claim. Contact us for a completely confidential, no-cost assessment and 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 are a healthcare worker in Anchorage, Alaska, get in touch with us 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. If you are a healthcare worker in Anchorage, Alaska,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Anchorage, Alaska

If you’ve become aware of deceptive activity as it concerns Medicare or Medicaid in Anchorage, Alaska, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and submitted accurately and quickly. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t 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 legal representatives to assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam claim to report the scams and allow you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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