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Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Centennial, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars each year. While many medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file suits on behalf of the federal or state government to report this type of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government 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 employees in Centennial, Colorado

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial 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 Centennial, Colorado

Medicaid fraud may cost taxpayers millions of dollars every year. In the state of Colorado, the Medicaid False Claims Act permits people and health care providers who have evidence of Medicaid fraud the ability to submit a civil whistleblower claim on behalf of the state government.

It is an offense for a person or entity to send deceitful claims or otherwise defraud the state government in Colorado Under the state’s Medicaid False Claims Act, an individual with the knowledge of fraudulent activity can come forward as a whistleblower and submit a qui tam lawsuit, potentially collecting a substantial financial reward for their efforts. If the state chooses to intervene in the fit, a whistleblower can get between 15 and 25 percent of the recovery. If the whistleblower pursues lawsuits individually, she or he might be awarded between 25 and 30 percent of the financial recovery.

Colorado’s Medicaid False Claims Act further safeguards a whistleblower from company retaliation should such retaliation take place as an outcome of the whistleblower’s reporting deceitful activity.

Liability of the Defendant in Centennial, Colorado

The offender in a qui tam claim in Colorado might be purchased to pay the government up to three times the amount of the monetary loss to the state in addition to fines of $5,000 to $10,000 per violation.

Statute of Limitations in Colorado

In the state of Colorado, individuals submitting a whistleblower claim must submit their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceptive Medicaid activity in Centennial, Colorado, you may decide to come forward with a whistleblower lawsuit. In this case, you ought to be aware of your legal rights and protections under Colorado whistleblower laws. The skilled whistleblower lawyers 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 Centennial, 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 Centennial, 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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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Centennial, Colorado

If you’ve become aware of deceitful activity as it concerns Medicare or Medicaid in Centennial, Colorado, you may need the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a 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 have years of experience as national qui tam lawyers to help in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam lawsuit to help report the scams and enable you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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