Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Dover, Delaware

Medicare and Medicaid fraud cost Delaware taxpayers billions of dollars each year. While many medical companies and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower lawyers help healthcare professionals to file suits on behalf of the federal or state government to help report these kinds of scams.

The state and federal government put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government counts on private citizens in Delaware to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Dover, Delaware

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is difficult and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Dover, Delaware

Deceitful Medicaid activity costs everyone in the state of Delaware. Due to the lack of government resources to combat these cases of fraud, the government relies on individuals and health care workers who are aware of scams to come forward with that knowledge.

 

Under the Delaware False Claims and Reporting Act, a private citizen can step forward to report Medicaid scams with a qui tam suit on behalf of the state. Under this law, these civil suits can recuperate lost government funds and hold perpetrators of Medicaid fraud accountable while rewarding whistleblowers for their heroic efforts.

 

In an effective Delaware whistleblower suit, the individual who brought the suit may be awarded between 15 and 25 percent of the recuperation if the state elects to get in into the suit. If the individual litigates without the state’s intervention, she or he might be granted in between 25 and 30 percent of the financial recovery.

 

Under the Delaware False Claims and Reporting Act, a whistleblower is likewise protected from any company retaliation that might arise from their reporting deceptive activity.

Liability of the Defendant in Dover, Delaware

The accused in a whistleblower suit in Delaware may be ordered to pay up to triple the real damages to the state in addition to fines of in between $10,957 and $21,916 for each infraction.

Statute of Limitations in Dover, Delaware

Individuals filing a qui tam lawsuit in Delaware need to file their complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

Delaware counts on whistleblowers who have evidence of Medicaid fraud. If you are aware of scams in Dover, Delaware and select to come forward, you need to understand your legal rights and safeguards under the law. The experienced whistleblower lawyers at Khurana Law Firm, P.C. can advise and guide you in your pursuit of a whistleblower claim in Delaware. 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 Dover, Delaware, 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 Dover, Delaware,  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 Dover, Delaware

When you become aware of potential fraud involving Medicaid or Medicare in Dover, Delaware, you require the advice of a skilled whistleblower attorney, someone who can make sure that your claim is fully investigated and filed accurately and promptly. By dealing with an experienced attorney you are increasing the chance that the government will intervene, thus increasing the chance for a 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 bring years of experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam suit to help report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can be of help.

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