Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Council Bluffs, Iowa

Medicare and Medicaid fraud cost Iowa taxpayers billions of dollars annually. Although most medical companies and drug companies are ethical and work within the system, there are those who do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

The state and federal government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on private citizens in Iowa to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave 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 kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, for court, and work tirelessly 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 Council Bluffs, Iowa

Whistleblower laws in the state of Iowa are often referred to as some of the best in the United States. The Iowa False Claims Act deals with a large array of fraud from healthcare scams to any kind of business relationship or government agreement involving state or municipal funds.

 

Under the Iowa False Claims Act, a private individual or healthcare worker who has evidence of fraud may file a whistleblower claim on behalf of the state against any individual, company, or another entity that intentionally presents incorrect or fraudulent 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 offenses. If the state chooses not to to prosecute, the whistleblower might then be entitled to get between 25 and 30 percent of the funds recovered as a benefit, along with expenses. Whistleblowers are also afforded should the employers attempt any retaliation for whistleblowing.

Liability of the Defendant in Council Bluffs, Iowa

Under the Iowa False Claims Act, an accused can be ordered to pay damages in the quantity of up to three times the monetary harm to the state in addition to considerable fines for each infraction.

Statute of Limitations in Council Bluffs, Iowa

Under the Iowa False Claims Act, a whistleblower needs to submit 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 Council Bluffs, Iowa, you might have the ability to submit a whistleblower suit on behalf of the state and gather a substantial reward for your efforts. At Khurana Law Firm, we have more than 20 years of experience in complicated litigation, whistleblower and qui tam law. Contact us for a completely confidential, no-cost assessment to discuss your rights and options 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 Council Bluffs, 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 Council Bluffs, 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 LAWYER; We are proud to represent healthcare workers in Council Bluffs, Iowa

When you become aware of fraud that may concern Medicare or Medicaid in Council Bluffs, Iowa, you may need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is completely examined and submitted accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not try 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 legal representatives to assist in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will examine 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 lawsuit to help report the fraud and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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