Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars annually. While many medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the government to help report this sort of fraud.

The state and federal governments place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks in Colorado to come forward to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Colorado Springs, Colorado

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. understand that coming forward is hard 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 investigate your claim, carefully prepare your case, and work tirelessly with both you and the state of federal government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Colorado Springs, Colorado

Medicaid fraud may cost taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act enables individuals and health care providers who have evidence of Medicaid scams the capability to file a civil whistleblower suit on behalf of the 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, a person with the knowledge of fraudulent activity can come forward as whistleblowers and submit a qui tam lawsuit, potentially collecting a large financial reward for their efforts. If the state chooses to intervene in the suit, a whistleblower can get between 15 and 25 percent of the financial recovery. If the whistleblower pursues litigation individually, he or she might be granted in between 25 and 30 percent of the financial recovery.

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

Liability of the Defendant in Colorado Springs, Colorado

The offender in a qui tam suit in Colorado may be bought to pay the federal government approximately three times the quantity of the monetary loss to the state along with fines of $5,000 to $10,000 per infraction.

Statute of Limitations in Colorado

In the state of Colorado, individuals filing a whistleblower claim need to submit their complaint within ten years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraudulent Medicaid activity in Colorado Springs, Colorado, you might choose to come forward with a whistleblower suit. In this case, you need to be aware of your legal rights and protections under Colorado whistleblower law. 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 Colorado Springs, 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 Colorado Springs, 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 LAWYER; We are proud to represent healthcare workers in Colorado Springs, Colorado

When you become aware of fraud that may concern Medicaid or Medicare in Colorado Springs, Colorado, you need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully investigated and filed accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid 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 prior experience as national qui tam lawyers to help in your fight 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 help report the scams and enable you to collect a financial benefit. 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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