Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars annually. Although the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to report this type of fraud.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams 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 completely examine your claim, diligently prepare your case, and work relentlessly with both you and the federal or state government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Lakewood, Colorado

Medicaid scams costs taxpayers millions of dollars every year. In the state of Colorado, the Medicaid False Claims Act allows individuals and healthcare providers who have knowledge of Medicaid scams the capability to submit a civil whistleblower suit on behalf of the state 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 come forward as a whistleblower and submit a qui tam lawsuit, possibly gathering a substantial financial reward for their efforts. If the state chooses to intervene in the match, a whistleblower can collect in between 15 and 25 percent of the financial recovery. If the whistleblower pursues lawsuits separately, she or he may be awarded in between 25 and 30 percent of the recovery.

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

Liability of the Defendant in Lakewood, Colorado

The offender in a qui tam suit in Colorado may be ordered to pay the government as much as three times the amount of the monetary loss to the state in addition to fines of $5,000 to $10,000 per offense.

Statute of Limitations in Colorado

In the state of Colorado, people submitting a whistleblower suit 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 Lakewood, Colorado, you may choose to come forward with a whistleblower suit. In this case, you should understand your legal rights and protections under Colorado whistleblower law. The knowledgeable whistleblower lawyers at Khurana Law Firm, P.C. can help. Contact us for a confidential, no-cost assessment 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 Lakewood, 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 Lakewood, 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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Report Medical fraud
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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Lakewood, Colorado

When you become aware of potential fraud that may concern Medicare or Medicaid in Lakewood, Colorado, you require the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t try 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 legal representatives to help in your battle against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam claim to report the fraud and allow you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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