Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Castle Rock, Colorado

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, some don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers assist healthcare workers to submit claims on behalf of the government to help report this type of fraud.

The state and federal governments put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts on regular folks in Colorado to come forward to report fraud. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the market. understand that stepping forward is difficult and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, for court, 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 Castle Rock, Colorado

Medicaid scams costs taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act allows individuals and health care workers who have knowledge of Medicaid scams the ability to submit a civil whistleblower lawsuit on behalf of the government.

It is an offense for an individual 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 deceptive activity can come forward as a whistleblower and submit a qui tam claim, potentially collecting a large financial reward for their efforts. If the state elects to intervene in the fit, a whistleblower can get in between 15 and 25 percent of the financial recovery. If the whistleblower pursues litigation individually, she or he might be awarded between 25 and 30 percent of the recovery.

Colorado’s Medicaid False Claims Act further safeguards a whistleblower from company retaliation should that occur as a result of the whistleblower’s reporting the deceptive activity.

Liability of the Defendant in Castle Rock, Colorado

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

Statute of Limitations in Colorado

In the state of Colorado, people submitting a whistleblower lawsuit should submit their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have become aware of deceitful Medicaid activity in Castle Rock, Colorado, you may decide to come forward with a whistleblower claim. In this case, you ought to understand your legal rights and protections under Colorado whistleblower law. The skilled whistleblower lawyers 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 Castle Rock, 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 Castle Rock, 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 Castle Rock, Colorado

When you become aware of potential fraud that may involve Medicaid or Medicare in Castle Rock, Colorado, you need the advice of an experienced whistleblower attorney, someone who can make sure that your claim is fully examined and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not try 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 help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam suit to report the scams and enable you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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