Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Pocatello, Idaho

Medicaid and Medicare fraud cost Idaho taxpayers billions of dollars every year. While many medical providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to submit suits on behalf of the federal or state government to help report this sort of fraud.

The state and federal governments place a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on every day people in Idaho to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Pocatello, Idaho

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 industry. 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 at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, and work relentlessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Pocatello, Idaho

Healthcare fraud costs taxpayers billions of dollars every year. While the state of Idaho does not have its own type of the federal False Claims Act, an individual who has knowledge of deceitful Medicaid activity against the government can submit a qui tam suit 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 with info pertaining to deceptive activity can bring a civil lawsuit on behalf of the government for the federal part of the amount invested. For this, the whistleblower may be entitled to a benefit of between 15 and 30 percent of the recuperation. Under the False Claims Act, the whistleblower is also afforded protection against any company retaliation that may originate from their suit.

Liability of the Defendant in Pocatello, Idaho

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

Statute of Limitations in Pocatello, Idaho

Under the federal False Claims Act, a private citizen bringing a qui tam suit must file their complaint within 10 years of the date that the offense occurred.

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceptive Medicaid activity in Pocatello, Idaho, you might be able to file a whistleblower lawsuit on behalf of the government. At Khurana Law Firm, we have over 20 years of experience in intricate 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 fraud or abuse in the Medicaid system, we may 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 Pocatello, 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 Pocatello, 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 ATTORNEY; We are proud to represent healthcare workers in Pocatello, Idaho

When you become aware of fraud involving Medicare or Medicaid in Pocatello, Idaho, you need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully examined and submitted accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to gather a financial benefit. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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