Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Caldwell, Idaho

Medicaid and Medicare fraud cost Idaho taxpayers billions of dollars annually. Although many medical companies and drug companies are ethical and work within the system, some don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to help report this sort of fraud.

The federal and state governments place a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it depends on every day people in Idaho to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Caldwell, Idaho

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. understand that stepping forward is not simple 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 extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Caldwell, Idaho

Health care fraud costs Idaho taxpayers billions of dollars each and every year. While the state of Idaho does not have its own version of the federal False Claims Act, a private citizen who has learned of deceitful Medicaid activity against the government can submit a qui tam lawsuit under the federal False Claims Act. This Act establishes civil liability for false or deceitful claims.

 

Under the federal False Claims Act, a private individual who has info concerning deceitful activity can bring a civil suit on behalf of the government for the federal portion of the amount spent. For this, the whistleblower might be entitled to a reward of between 15 and 30 percent of the recuperation. Under the False Claims Act, the whistleblower is likewise provided shield against any company retaliation that may stem from their case.

Liability of the Defendant in Caldwell, Idaho

Individuals, business, or other entities that may have defrauded the government may be held accountable for triple the damages to the government. In addition, they can be subject to considerable penalties per event of fraud.

Statute of Limitations in Caldwell, Idaho

Under the federal False Claims Act, a private citizen bringing a qui tam lawsuit should submit their complaint within ten years of the date that the infraction took place.

Working With an Experienced Whistleblower Lawyer

If you have proof of deceptive Medicaid activity in Caldwell, Idaho, you might have the ability to file a whistleblower claim on behalf of the federal government. At Khurana Law Firm, we have over 20 years of experience in complex lawsuits, qui tam, and whistleblower law. Contact us for a personal, no-cost assessment to discuss your rights under federal law. If you have seen scams or abuse in the Medicaid system, we might be able to help you.

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 Caldwell, Idaho, 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 Caldwell, Idaho,  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 Caldwell, Idaho

If you’ve become aware of deceptive activity involving Medicaid or Medicare in Caldwell, Idaho, you need the advice of a skilled whistleblower attorney, someone who can ensure that your claim is completely investigated and submitted accurately and quickly. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t 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 attorneys to help in your battle against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam claim to report the scams and enable you to gather a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can help.

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