Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Loveland, Colorado

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars every year. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file suits on behalf of the government to help report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Loveland, Colorado

Medicaid fraud costs taxpayers millions of dollars every year. In the state of Colorado, the Medicaid False Claims Act allows individuals and health care workers who have knowledge of Medicaid fraud the ability to submit a civil whistleblower claim on behalf of the government.

It is an offense for an individual or entity to send deceptive 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 a whistleblower and submit a qui tam claim, possibly gathering a sizable 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 litigation individually, she or he might be granted between 25 and 30 percent of the financial recovery.

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

Liability of the Defendant in Loveland, Colorado

The accused in a qui tam claim in Colorado may be ordered to pay the 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, people filing a whistleblower claim must file their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of deceptive Medicaid activity in Loveland, Colorado, you may choose to come forward with a whistleblower suit. In this case, you need to understand your legal rights and protections under Colorado whistleblower law. The experienced whistleblower attorneys at Khurana Law Firm, P.C. can help. Contact us for a completely 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 Loveland, 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 Loveland, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Loveland, Colorado

If you’ve become aware of fraud involving Medicare or Medicaid in Loveland, Colorado, you need the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely examined and submitted accurately and immediately. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare 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 legal representatives to assist in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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