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Qui tam attorney Illinois Medicaid and Medicare fraud cost Illinois taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everyone loses. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to file suits on behalf of the federal or state government to help report this type of fraud.
The federal and state government put a a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government relies on regular folks in qui tam attorney Illinois to come forward to report fraud. People like you.
At Khurana Law Firm, P.C., as experienced qui tam attorney Illinois Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the market. We know that coming forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .
Qui tam attorney Illinois and with our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work tirelessly with both you and the federal or state government to assist in bringing deceitful Medicaid or Medicare activity to justice.
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:
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.
The MA provider reviews charts to add additional diagnosis codes.
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.
Coders are directed to add codes based on other information in the chart.
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.
The MA provider reviews charts to add additional diagnosis codes.
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.
Coders are directed to add codes based on other information in the chart.
If you suspect Medicare Advantage Fraud, you can report it here.
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.
Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.
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.
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.
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.
The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity.
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.
If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation.
If you’ve become aware of potential fraud as it concerns Medicare or Medicaid, you may need the advice of a skilled whistleblower attorney, someone who can ensure that your claim is fully examined and submitted accurately and without delay. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter – don’t try to do this alone, we are here to help.
At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers 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 feel you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.
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