Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Alaska taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the system, some don’t. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower attorneys help healthcare professionals to submit suits on behalf of the government to help report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Fairbanks, Alaska

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Fairbanks, Alaska

Medicaid scams and abuse cost taxpayers throughout the USA billions of dollars every year. Because of this, states count on whistleblowers to come forward with relevant information concerning possible Medicaid fraud against the state and federal government.

 

In Fairbanks, Alaska, the Alaska Medical Assistance False Claim and Reporting Act holds those who defraud the State’s healthcare program criminally liable and also liable through civil actions. Those who are aware of deceptive 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 offense, and reasonable lawsuits costs. The person who reports Medicaid scams in Alaska is also protected from employer retaliation.

 

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

 

Additionally, under the federal False Claims Act, the whistleblower is protected from any company retaliation as an outcome of their reporting.

Liability of the Defendant in Fairbanks, Alaska

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

Statute of Limitations in Alaska

People submitting a whistleblower claim in the state of Alaska are required to submit their problem within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have learned of Medicaid scams in Alaska, you may be able to file 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 and guide you in filing a whistleblower claim. Contact us for a 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 Fairbanks, 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 Fairbanks, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Fairbanks, Alaska

If you’ve become aware of deceptive activity that may concern Medicaid or Medicare in Fairbanks, Alaska, you need the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and immediately. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not 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 lawyers to assist in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam claim to help report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can help.

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