Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars annually. While most medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to submit lawsuits on behalf of the government to report this type of fraud.

The state and federal governments place a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on every day people in Colorado to come forward to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Pueblo, Colorado

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the market. We know that coming forward is difficult and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Pueblo, Colorado

Medicaid scams may cost taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act allows people and health care workers who have knowledge of Medicaid fraud the ability to submit a civil whistleblower suit on behalf of the state government.

It is an offense for an individual or entity to send deceitful claims or otherwise defraud the state government in Colorado Under the state’s Medicaid False Claims Act, a person with the knowledge of deceptive activity can come forward as a whistleblower and file a qui tam suit, potentially gathering a sizable financial reward for their efforts. If the state elects to intervene in the match, a whistleblower can get between 15 and 25 percent of the recovery. If the whistleblower pursues litigation separately, he or she might be awarded between 25 and 30 percent of the financial recovery.

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

Liability of the Defendant in Pueblo, Colorado

The offender in a qui tam claim in Colorado may be ordered to pay the government up to three times the quantity of the financial 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 submitting a whistleblower suit must file their complaint within ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have become aware of fraudulent Medicaid activity in Pueblo, Colorado, you might decide to come forward with a whistleblower suit. In this case, you ought to 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 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 Pueblo, 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 Pueblo, 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 Pueblo, Colorado

If you’ve become aware of fraud involving Medicare or Medicaid in Pueblo, Colorado, you may need the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and immediately. 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 –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to gather a reward. 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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