Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Juneau, Alaska

Medicare and Medicaid fraud cost Alaska taxpayers billions of dollars each year. While the majority of medical providers and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to submit claims on behalf of the government to help report this sort of fraud.

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

Work with

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Juneau, Alaska

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

 

In Juneau, Alaska, the Alaska Medical Assistance False Claim and Reporting Act holds those who defraud the State’s healthcare program criminally liable and also accountable through civil actions. Those who are aware of deceitful activity can bring it to the attention of the State, where the State can criminally prosecute and hold the party/entity accountable for as much as 3 times the damages sustained by the state, charges of between $5,500 and $11,00 per violation, and reasonable lawsuits expenses. The person who reports Medicaid fraud in Alaska is also safeguarded from company retaliation.

 

Under the federal False Claims Act, a private whistleblower who knows of Medicaid scams in Alaska is provided the right to bring a qui tam claim for the government’s share of the damages and the ability to gather 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 suit and 25 to 30 percent of the recovery if the whistleblower prosecuted the action alone.

 

In addition, under the federal False Claims Act, the whistleblower is safeguarded from any company retaliation as a result of their reporting.

Liability of the Defendant in Juneau, Alaska

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

Statute of Limitations in Alaska

Individuals submitting a whistleblower lawsuit in the state of Alaska are required to file their complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

If you have learned of Medicaid fraud in Alaska, you might be able to file a qui tam suit under the federal False Claims Act. The whistleblower lawyers at Khurana Law Firm, P.C. can advise you of your rights and protections and guide you in submitting a whistleblower suit. 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 are a healthcare worker in Juneau, 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 Juneau, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Juneau, Alaska

When you become aware of potential fraud involving Medicare or Medicaid in Juneau, Alaska, you require the advice of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely examined and submitted accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to help in your battle against Medicaid and Medicare fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we may represent you in a qui tam claim to help report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can be of help.

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