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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Parker, Colorado

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars every year. Although most medical companies and drug companies are ethical and work within the system, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit claims on behalf of the federal or state government to help report this type of fraud.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud 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 substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work relentlessly 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 Parker, Colorado

Medicaid fraud costs taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act allows people and healthcare workers who have knowledge of Medicaid scams the capability to submit a civil whistleblower lawsuit on behalf of the government.

It is an offense for a person or entity to send deceitful claims or otherwise defraud the state government in Colorado Under the state’s Medicaid False Claims Act, an individual with the knowledge of fraudulent activity can come forward as whistleblowers and file a qui tam suit, potentially collecting a large 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 recovery. If the whistleblower pursues litigation separately, he or she may 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 such retaliation take place as a result of their reporting deceitful activity.

Liability of the Defendant in Parker, Colorado

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

Statute of Limitations in Colorado

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

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraudulent Medicaid activity in Parker, Colorado, you might decide to come forward with a whistleblower lawsuit. In this case, you need to be aware of your legal rights and protections under Colorado whistleblower law. The skilled whistleblower attorneys 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 Parker, 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 Parker, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Parker, Colorado

When you become aware of fraud that may involve Medicare or Medicaid in Parker, Colorado, you may need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is completely investigated and filed accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, hence increasing the possibility for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t attempt 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 assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys 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 suit to help report the scams and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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