Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Broomfield, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars annually. While many medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys assist healthcare workers to file claims on behalf of the federal or state government to report this sort of fraud.

The state and federal government put a great deal of trust in pharmaceutical and medical 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 healthcare workers in Broomfield, Colorado

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. 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 comprehensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work tirelessly with you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Broomfield, Colorado

Medicaid fraud 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 suit on behalf of the government.

It is an offense for a person or entity to submit deceptive claims or otherwise defraud the state government in Colorado Under the state’s Medicaid False Claims Act, a person with the knowledge of deceptive activity can step forward as a whistleblower and file a qui tam claim, potentially gathering a large financial reward for their efforts. If the state elects to intervene in the match, a whistleblower can get in between 15 and 25 percent of the recovery. If the whistleblower pursues lawsuits individually, he or she may be granted in between 25 and 30 percent of the financial recovery.

Colorado’s Medicaid False Claims Act further protects a whistleblower from employer retaliation should such retaliation take place as an outcome of their reporting the deceptive activity.

Liability of the Defendant in Broomfield, Colorado

The defendant in a qui tam lawsuit in Colorado might be bought to pay the federal government approximately three times the amount of the financial loss to the state along with fines of $5,000 to $10,000 per violation.

Statute of Limitations in Colorado

In the state of Colorado, people submitting a whistleblower claim need to file their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceitful Medicaid activity in Broomfield, Colorado, you may decide to come forward with a whistleblower suit. In this case, you must be aware of your legal rights and protections under Colorado whistleblower laws. The experienced whistleblower attorneys at Khurana Law Firm, P.C. can help. Contact us for a completely 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 Broomfield, 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 Broomfield, 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 Broomfield, Colorado

If you’ve become aware of fraudulent activity that may concern Medicaid or Medicare in Broomfield, Colorado, you need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally examined and filed accurately and without delay. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam suit to report the fraud and allow you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can be of help.

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