Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Arvada, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars every year. Although many medical providers and drug companies are ethical and work within the system, there are those who do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to file lawsuits on behalf of the government to help report these kinds of scams.

The federal and state governments place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on private citizens in Colorado to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Arvada, Colorado

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 scams in the industry. We know that coming forward is not simple and many things may 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, carefully prepare your case, and work relentlessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Arvada, Colorado

Medicaid scams may cost taxpayers millions of dollars every single year. In the state of Colorado, the Medicaid False Claims Act allows individuals and health care workers who have proof of Medicaid fraud the capability to file a civil whistleblower suit on behalf of the government.

It is an offense for a person or entity to submit deceitful claims or otherwise defraud the state government in Colorado Under the state’s Medicaid False Claims Act, an individual with the knowledge of deceitful activity can come forward as whistleblowers and file a qui tam lawsuit, possibly gathering a large financial reward for their efforts. If the state chooses to intervene in the suit, a whistleblower can collect in between 15 and 25 percent of the financial recovery. If the whistleblower pursues lawsuits individually, she or he may be awarded between 25 and 30 percent of the recovery.

Colorado’s Medicaid False Claims Act further protects a whistleblower from company retaliation should that happen as a result of their reporting deceitful activity.

Liability of the Defendant in Arvada, Colorado

The offender in a qui tam suit in Colorado may be ordered to pay the federal government as much as three times the amount of the monetary loss to the state as well as fines of $5,000 to $10,000 per offense.

Statute of Limitations in Colorado

In the state of Colorado, people filing a whistleblower lawsuit need to submit their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceptive Medicaid activity in Arvada, Colorado, you might decide to come forward with a whistleblower lawsuit. In this case, you need to understand your legal rights and protections under Colorado whistleblower laws. The knowledgeable whistleblower attorneys at Khurana Law Firm, P.C. can help. 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 Arvada, Colorado, 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 Arvada, Colorado,  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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Arvada, Colorado

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Arvada, Colorado, you need the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely investigated and submitted accurately and immediately. By working with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to help in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. Because 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 help.

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