Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Newark, Delaware

Medicaid and Medicare fraud cost Delaware taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower attorneys help healthcare professionals to submit lawsuits on behalf of the federal or state government to report these kinds of scams.

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

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

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 industry. We know that stepping forward is challenging and many things may 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 completely investigate your claim, carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Newark, Delaware

Deceptive Medicaid activity costs everyone in the state of Delaware. Because of the lack of government resources to combat these cases of fraud, the government depends on people and health care workers who know of fraud to come forward with this information.

 

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

 

In an effective Delaware whistleblower claim, the person who brought the lawsuit might be awarded in between 15 and 25 percent of the recovery if the state picks to participate in the suit. If the private citizen litigates without the state’s intervention, she or he may be awarded 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 employer retaliation that may result from their reporting deceptive activity.

Liability of the Defendant in Newark, Delaware

The defendant in a whistleblower lawsuit in Delaware may be required to pay up to triple the actual damages to the state in addition to fines of in between $10,957 and $21,916 for each offense.

Statute of Limitations in Newark, Delaware

Individuals submitting a qui tam claim in Delaware need to file their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

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

When you become aware of potential fraud as it concerns Medicaid or Medicare in Newark, Delaware, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and quickly. By working with a skilled attorney you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  do not try 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 attorneys to assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam suit to report the fraud and enable you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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