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Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Aurora, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars every year. While the majority of medical providers and drug companies are honest and work within the system, there are those who don’t. When fraud happens, everyone loses. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to submit lawsuits on behalf of the government to help report this type of fraud.

The state and federal governments put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it relies on private citizens in Colorado to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Aurora, Colorado

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 market. We know that coming forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently and 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 Aurora, Colorado

Medicaid scams costs taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act enables individuals and healthcare providers who have evidence of Medicaid scams the capability to submit a civil whistleblower lawsuit on behalf of the state government.

It is an offense for a person or entity to submit fraudulent 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 step forward as whistleblowers and submit a qui tam lawsuit, possibly collecting a large financial reward for their efforts. If the state elects 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, he or she may be granted in between 25 and 30 percent of the recovery.

Colorado’s Medicaid False Claims Act further protects a whistleblower from company retaliation should such retaliation occur as an outcome of the whistleblower’s reporting the fraudulent activity.

Liability of the Defendant in Aurora, Colorado

The defendant in a qui tam claim in Colorado may be bought to pay the government as much as three times the amount of the monetary loss to the state in addition to fines of $5,000 to $10,000 per infraction.

Statute of Limitations in Colorado

In the state of Colorado, individuals submitting 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 deceitful Medicaid activity in Aurora, Colorado, you might choose to come forward with a whistleblower claim. In this case, you should be aware of your legal rights and protections under Colorado whistleblower law. The experienced 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:


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 Aurora, 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 Aurora, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Aurora, Colorado

When you become aware of potential fraud that may concern Medicare or Medicaid in Aurora, Colorado, you may need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and without delay. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not 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 Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam suit to help report the scams and allow you to collect a reward. All whistleblower work is 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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