Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Thornton, Colorado

Medicare and Medicaid fraud cost Colorado taxpayers billions of dollars each year. While the majority of medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to file lawsuits on behalf of the government to report these kinds of scams.

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

Work with

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the industry. understand that stepping forward is hard and numerous 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 completely investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Thornton, Colorado

Medicaid scams may cost taxpayers millions of dollars every year. In the state of Colorado, the Medicaid False Claims Act enables individuals and health care providers who have proof of Medicaid scams the ability to submit a civil whistleblower claim 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, a person with the knowledge of deceitful activity can step forward as whistleblowers and submit a qui tam suit, potentially gathering a sizable reward for their efforts. If the state elects to intervene in the match, a whistleblower can collect between 15 and 25 percent of the recovery. If the whistleblower pursues litigation individually, she or he may be granted in between 25 and 30 percent of the recovery.

Colorado’s Medicaid False Claims Act further safeguards a whistleblower from employer retaliation should that happen as an outcome of their reporting deceptive activity.

Liability of the Defendant in Thornton, Colorado

The defendant in a qui tam lawsuit in Colorado might be bought to pay the government up to 3 times the amount of the monetary loss to the state as well as fines of $5,000 to $10,000 per infraction.

Statute of Limitations in Colorado

In the state of Colorado, individuals submitting a whistleblower lawsuit must submit 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 Thornton, Colorado, you might choose to come forward with a whistleblower claim. In this case, you ought to be aware of your legal rights and protections under Colorado whistleblower law. The knowledgeable 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:

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 Thornton, 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 Thornton, 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 LAWYER; We are proud to represent healthcare workers in Thornton, Colorado

If you’ve become aware of fraud that may concern Medicaid or Medicare in Thornton, Colorado, you require the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is completely examined and filed accurately and immediately. By dealing with an experienced attorney you are increasing the chance that the government will step in, hence increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not attempt 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 attorneys to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam claim to report the fraud and enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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