Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Ames, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars every year. While many medical service providers and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud occurs, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the federal or state government to report this type of fraud.

The federal and state governments place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it 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 Ames, Iowa

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 scams in the market. We know that coming forward is challenging and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Ames, Iowa

Whistleblower laws in the state of Iowa are often referred to as some of the best in the country. The Iowa False Claims Act addresses a broad array of scams from health care fraud to any type of business relationship or government contract involving state or community funds.

 

Under the Iowa False Claims Act, a private citizen or healthcare employee who has proof of fraud might submit a whistleblower lawsuit on behalf of the state against anyone, business, or another entity that intentionally provides false or deceitful claims, misappropriates state funds, or avoids financial commitments to the state.

 

The Iowa False Claims Act entitles whistleblowers to collect in between 15 and 25 percent of the monetary recovery to the state if the state prosecutes the violations. If the state declines to prosecute, the whistleblower might then be entitled to get between 25 and 30 percent of the recovery as a benefit, in addition to costs. Whistleblowers are also afforded if the companies attempt any retaliation for whistleblowing.

Liability of the Defendant in Ames, Iowa

Under the Iowa False Claims Act, an offender can be ordered to pay damages in the quantity of up to three times the financial damage to the state in addition to substantial fines for each violation.

Statute of Limitations in Ames, Iowa

Under the Iowa False Claims Act, a whistleblower needs to file their complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

If you have proof of deceptive activity in Ames, Iowa, you may have the ability to submit a whistleblower claim on behalf of the state and gather a significant financial reward for your efforts. At Khurana Law Firm, we have more than 20 years of experience in intricate litigation, whistleblower and qui tam law. Contact us for a confidential, no-cost assessment and 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 are a healthcare worker in Ames, Iowa, 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 Ames, Iowa,  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 Ames, Iowa

When you become aware of deceitful activity as it concerns Medicare or Medicaid in Ames, Iowa, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and immediately. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid fraud. Our attorneys 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 claim to help report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can be of help.

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