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Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars annually. While the majority of medical service providers and drug companies are ethical and work within the system, there are those who do not. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the federal or state government to report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Denver, Colorado

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the market. We know that stepping forward is not easy and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, for court, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Denver, Colorado

Medicaid fraud may cost taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act allows individuals and healthcare workers who have evidence of Medicaid fraud the ability to submit a civil whistleblower lawsuit on behalf of the state government.

It is an offense for an individual or entity to submit deceitful 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 come forward as a whistleblower and file a qui tam claim, potentially collecting a substantial reward for their efforts. If the state chooses to intervene in the match, a whistleblower can get in between 15 and 25 percent of the financial recovery. If the whistleblower pursues litigation independently, she or he may be awarded 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 happen as an outcome of their reporting the deceptive activity.

Liability of the Defendant in Denver, Colorado

The offender in a qui tam lawsuit in Colorado may be purchased to pay the federal government as much as 3 times the amount of the monetary loss to the state as well as fines of $5,000 to $10,000 per offense.

Statute of Limitations in Colorado

In the state of Colorado, individuals submitting a whistleblower lawsuit must file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceptive Medicaid activity in Denver, Colorado, you may choose to come forward with a whistleblower claim. In this case, you ought to be aware of 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:


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 Denver, 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 Denver, 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 Denver, Colorado

If you’ve become aware of potential fraud that may involve Medicare or Medicaid in Denver, Colorado, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is fully examined and submitted accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will intervene, thus increasing the chance for a reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will examine 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 claim to report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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