Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Highlands Ranch, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars each year. While many medical companies and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers help healthcare workers to file suits on behalf of the government to report this type of fraud.

The federal and state governments put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it counts on every day people in Colorado to come forward to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Highlands Ranch, Colorado

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. We know that stepping forward is hard and numerous 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 thoroughly investigate your claim, diligently prepare your case, for court, and work tirelessly with both you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Highlands Ranch, Colorado

Medicaid fraud costs taxpayers millions of dollars every year. In the state of Colorado, the Medicaid False Claims Act enables people and health care providers who have proof 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 deceptive 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 step forward as a whistleblower and file a qui tam suit, potentially gathering a substantial financial reward for their efforts. If the state elects 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, he or she may be granted in between 25 and 30 percent of the financial recovery.

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

Liability of the Defendant in Highlands Ranch, Colorado

The offender in a qui tam lawsuit in Colorado might be bought to pay the federal government up to 3 times the quantity of the monetary 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, individuals filing a whistleblower suit must submit their complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

If you have become aware of deceitful Medicaid activity in Highlands Ranch, Colorado, you might decide to come forward with a whistleblower claim. In this case, you must be aware of your legal rights and protections under Colorado whistleblower law. The experienced 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:

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 Highlands Ranch, 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 Highlands Ranch, Colorado,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Highlands Ranch, Colorado

When you become aware of deceitful activity that may concern Medicaid or Medicare in Highlands Ranch, Colorado, you may need the advice of a skilled whistleblower attorney, someone who can make sure that your claim is completely examined and submitted accurately and without delay. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a reward. Reporting Medicaid and Medicare scams 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 attorneys to assist in your battle against Medicaid and Medicare fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam suit to report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can help.

Service areas