Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Post Falls, Idaho

Medicaid and Medicare fraud cost Idaho taxpayers billions of dollars annually. While the majority of medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to file claims on behalf of the federal or state government to help report this sort of fraud.

The federal and state government place a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government depends on private citizens in Idaho to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Post Falls, Idaho

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the market. understand that coming forward is challenging and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Post Falls, Idaho

Health care scams costs Idaho taxpayers billions of dollars each and every year. While the state of Idaho does not have its own type of the federal False Claims Act, an individual who has learned of fraudulent Medicaid activity against the government can submit a qui tam lawsuit under the federal False Claims Act. This Act imposes civil liability for misleading or deceitful claims.

 

Under the federal False Claims Act, a private individual with information regarding deceptive activity can bring a civil claim on behalf of the government for the federal part of the amount invested. For this, the whistleblower might be entitled to a benefit of in between 15 and 30 percent of the recovery. Under the False Claims Act, the whistleblower is also afforded protection against any company retaliation that may come from their lawsuit.

Liability of the Defendant in Post Falls, Idaho

Individuals, business, or other entities that have defrauded the federal government may be held liable for triple the damages to the government. In addition, they can be subject to significant charges per incident of scams.

Statute of Limitations in Post Falls, Idaho

Under the federal False Claims Act, an individual bringing a qui tam claim needs to submit their complaint within 10 years of the date that the violation took place.

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceptive Medicaid activity in Post Falls, Idaho, you might have the ability to submit a whistleblower claim on behalf of the federal government. At Khurana Law Firm, we have more than 20 years of experience in complex litigation, qui tam, and whistleblower law. Contact us for a private, no-cost assessment to discuss your rights under federal law. If you have actually witnessed 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 Post Falls, 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 Post Falls, 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 Post Falls, Idaho

When you become aware of potential fraud that may concern Medicaid or Medicare in Post Falls, Idaho, you need the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is fully investigated and submitted accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers will review 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 lawsuit to help report the scams and allow you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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