Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Idaho taxpayers billions of dollars every year. Although most medical service providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to file lawsuits on behalf of the federal or state government to help report this sort of fraud.

The state and federal government put a lot of trust in medical and pharmaceutical providers. When that trust is ill-placed, it depends on every day people in Idaho to come forward and to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Twin Falls, Idaho

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

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Twin Falls, Idaho

Health care 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 fraudulent Medicaid activity against the government can submit a qui tam claim under the federal False Claims Act. This Act establishes civil liability for misleading or fraudulent 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 portion of the amount invested. For this, the whistleblower might be entitled to a reward of between 15 and 30 percent of the recovery. Under the False Claims Act, the whistleblower is likewise provided shield against any employer retaliation that may come from their case.

Liability of the Defendant in Twin Falls, Idaho

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

Statute of Limitations in Twin Falls, Idaho

Under the federal False Claims Act, an individual bringing a qui tam lawsuit must file their complaint within 10 years of the date that the violation happened.

Working With an Experienced Whistleblower Attorney

If you have evidence of fraudulent Medicaid activity in Twin Falls, Idaho, you might have the ability to submit a whistleblower suit on behalf of the federal government. At Khurana Law Firm, we have over 20 years of experience in complex litigation, qui tam, and whistleblower law. Contact us for a confidential, no-cost assessment to discuss your rights under federal law. If you have experienced scams or abuse in the Medicaid system, we might be able to assist 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 Twin 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 Twin Falls, Idaho,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Twin Falls, Idaho

When you become aware of fraud as it concerns Medicaid or Medicare in Twin Falls, Idaho, you require the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a reward. Reporting Medicare and Medicaid 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 prior experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to help report the scams and enable you to gather a reward. 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 help.

Service areas