Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Greeley, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars each year. While many medical providers and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower lawyers help healthcare professionals to submit lawsuits on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Greeley, Colorado

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

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, and work relentlessly with you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Greeley, Colorado

Medicaid fraud may cost taxpayers millions of dollars every single year. In the state of Colorado, the Medicaid False Claims Act enables individuals and healthcare providers who have proof of Medicaid fraud the ability to submit a civil whistleblower suit on behalf of the government.

It is an offense for an individual 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 deceitful activity can come forward as whistleblowers and submit a qui tam lawsuit, possibly gathering a substantial reward for their efforts. If the state chooses to intervene in the fit, a whistleblower can get in between 15 and 25 percent of the recovery. If the whistleblower pursues lawsuits separately, she or he may be granted in between 25 and 30 percent of the recovery.

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

Liability of the Defendant in Greeley, Colorado

The accused in a qui tam lawsuit in Colorado may be ordered to pay the government as much as 3 times the amount 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, people filing a whistleblower lawsuit must file their complaint within ten years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceptive Medicaid activity in Greeley, Colorado, you might decide to come forward with a whistleblower suit. In this case, you should understand your legal rights and protections under Colorado whistleblower laws. The knowledgeable 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 Greeley, 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 Greeley, 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 LAWYER; We are proud to represent healthcare workers in Greeley, Colorado

When you become aware of deceptive activity as it concerns Medicaid or Medicare in Greeley, Colorado, you may need the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is totally investigated and filed accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not 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 attorneys to help in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may 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 until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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