Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Davenport, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars every year. Although most medical providers and drug companies are ethical and work within the system, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower attorneys assist healthcare professionals to file claims on behalf of the federal or state government to report this sort of fraud.

The state and federal governments put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks in Iowa to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Davenport, Iowa

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is difficult and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work tirelessly with both you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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confidential consultation

Whistleblower Laws in Davenport, Iowa

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

 

Under the Iowa False Claims Act, a private individual or health care employee who has evidence of scams may submit a whistleblower claim on behalf of the state against anybody, business, or entity that knowingly presents false or deceitful claims, misappropriates state funds, or avoids monetary responsibilities to the state.

 

The Iowa False Claims Act entitles whistleblowers to collect in between 15 and 25 percent of the financial recovery to the state if the state prosecutes the offenses. If the state declines to prosecute, the whistleblower might then be entitled to receive between 25 and 30 percent of the recovery as a benefit, along with costs. Whistleblowers are likewise afforded should the employers attempt any retaliation for whistleblowing.

Liability of the Defendant in Davenport, Iowa

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

Statute of Limitations in Davenport, Iowa

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

Working With an Experienced Whistleblower Attorney

If you have proof of deceptive activity in Davenport, Iowa, you might be able to submit a whistleblower claim on behalf of the state and collect a significant financial reward for your efforts. At Khurana Law Firm, we have over 20 years of experience in intricate litigation, whistleblower and qui tam law. Contact us for a completely confidential, no-cost consultation 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 Davenport, 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 Davenport, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Davenport, Iowa

If you’ve become aware of fraud that may concern Medicare or Medicaid in Davenport, Iowa, you require the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is fully investigated and filed accurately and quickly. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicaid and Medicare scams 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 practical experience as national qui tam legal representatives to assist in your fight against Medicaid and Medicare 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 lawsuit to help report the scams and enable you to collect a reward. All whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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