Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Westminster, Colorado

Medicaid and Medicare fraud cost Colorado taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to file claims on behalf of the federal or state government to report this sort of fraud.

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

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Westminster, 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 fraud in the industry. understand that coming forward is challenging and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work relentlessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Westminster, Colorado

Medicaid scams may cost taxpayers millions of dollars each year. In the state of Colorado, the Medicaid False Claims Act permits individuals and healthcare workers who have knowledge of Medicaid fraud the ability to file a civil whistleblower lawsuit on behalf of the state 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, an individual with the knowledge of deceitful activity can step forward as a whistleblower and submit a qui tam lawsuit, potentially collecting a sizable reward for their efforts. If the state chooses to intervene in the match, a whistleblower can get between 15 and 25 percent of the recovery. If the whistleblower pursues lawsuits independently, she or he might be awarded 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 happen as an outcome of the whistleblower’s reporting deceitful activity.

Liability of the Defendant in Westminster, Colorado

The accused in a qui tam lawsuit in Colorado might be purchased to pay the government up to 3 times the quantity of the monetary loss to the state as well as fines of $5,000 to $10,000 per violation.

Statute of Limitations in Colorado

In the state of Colorado, people submitting a whistleblower lawsuit should submit their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of deceptive Medicaid activity in Westminster, Colorado, you may decide to come forward with a whistleblower lawsuit. In this case, you should understand your legal rights and protections under Colorado whistleblower laws. 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 Westminster, 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 Westminster, 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 ATTORNEY; We are proud to represent healthcare workers in Westminster, Colorado

When you become aware of fraudulent activity that may concern Medicare or Medicaid in Westminster, Colorado, you may need the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is completely examined and filed accurately and promptly. By working with an experienced lawyer you are increasing the chance that the government will step in, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complex 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 Medicare and Medicaid scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam lawsuit to report the fraud and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can help.

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