Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Ankeny, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars annually. Although most medical companies and drug companies are ethical and work within the system, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to submit lawsuits on behalf of the government to help report this type of fraud.

The state and federal governments put a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on every day people in Iowa to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Ankeny, Iowa

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the industry. We know that stepping forward is difficult and lots of things may 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 investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Ankeny, Iowa

Whistleblower laws in the state of Iowa are some of the best in the United States. The Iowa False Claims Act addresses a broad array of scams from healthcare scams to any kind of business relationship or government contract involving state or community funds.

 

Under the Iowa False Claims Act, a private citizen or health care worker who has evidence of fraud may submit a whistleblower lawsuit on behalf of the state against anyone, business, or another entity that intentionally presents false or deceitful claims, misappropriates state property, or avoids financial obligations 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 offenses. If the state declines to prosecute, the whistleblower might then be entitled to receive in between 25 and 30 percent of the recovery as a benefit, along with expenditures. Whistleblowers are likewise afforded should the companies attempt any retaliation for whistleblowing.

Liability of the Defendant in Ankeny, Iowa

Under the Iowa False Claims Act, an accused can be ordered to pay damages in the quantity of as much as 3 times the monetary harm to the state in addition to substantial fines for each offense.

Statute of Limitations in Ankeny, Iowa

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

Working With an Experienced Whistleblower Lawyer

If you have evidence of fraudulent activity in Ankeny, Iowa, you might be able to submit a whistleblower lawsuit 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 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 are a healthcare worker in Ankeny, 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 Ankeny, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Ankeny, Iowa

If you’ve become aware of fraud that may concern Medicare or Medicaid in Ankeny, Iowa, you may need the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, hence 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 prior experience as national qui tam attorneys to help in your battle against Medicaid and Medicare fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you 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. 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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