Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Iowa

Medicare and Medicaid fraud cost Iowa taxpayers billions of dollars each year. While the majority of medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys help people who work in the healthcare system to submit lawsuits on behalf of the government to report these kinds of scams.

The state and federal government put a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on every day people in Iowa to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Iowa

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the market. understand that stepping forward is challenging and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Iowa

Whistleblower laws in the state of Iowa are some of the strongest in the country. The Iowa False Claims Act addresses a wide array of fraud from healthcare fraud to any type of business relationship or government contract involving state or municipal funds. 

 

Under the Iowa False Claims Act, a private individual or healthcare employee who has evidence of fraud may file a whistleblower lawsuit on behalf of the state against any person, company, or entity that knowingly presents false or fraudulent claims, misappropriates state property, or avoids financial obligations to the state. 

 

The Iowa False Claims Act entitles whistleblowers to collect between 15 and 25 percent of the financial recovery to the state if the state prosecutes the violations. If the state declines to prosecute, the whistleblower may then be entitled to receive between 25 and 30 percent of the recovery as a reward, in addition to expenses. 

Whistleblowers are also afforded protection against employers for their actions. 

Liability of the Defendant in Iowa

Under the Iowa False Claims Act, a defendant can be ordered to pay damages in the amount of up to three times the financial harm to the state in addition to significant fines for each violation. 

Statute of Limitations in Iowa

Under the Iowa False Claims Act, a whistleblower must file their complaint within ten years of the date of the violation. 

Working With an Experienced Whistleblower Attorney

If you have evidence of fraudulent activity in the state of Iowa, you may be able to file a whistleblower lawsuit on behalf of the state and collect a substantial reward for your efforts.  At Khurana Law Firm, we have over 20 years of experience in complex litigation, whistleblower and qui tam law. Contact us for a confidential, no-cost consultation to discuss your rights under whistleblower laws in Iowa.

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 can report it 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. To report Medicare fraud, 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

When you become aware of deceitful activity that may involve Medicaid or Medicare, you require the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely investigated and filed accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is an intricate 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 legal representatives to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we may represent you in a qui tam claim to help report the scams and enable you to gather a reward. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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