Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars each year. Although many medical companies and drug companies are honest and work within the legal channels, some do not. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to submit claims on behalf of the government to report this sort of fraud.

The federal and state government put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, it relies on private citizens in Iowa to come forward to report scams. People like you.

Work with

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the industry. We know that stepping forward is hard and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Dubuque, 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 large array of fraud from health care fraud to any kind of business relationship or government agreement involving state or municipal funds.

 

Under the Iowa False Claims Act, a private citizen or health care worker who has evidence of scams might file a whistleblower suit on behalf of the state against anybody, company, or entity that knowingly presents false or fraudulent claims, misuses state funds, or avoids monetary commitments to the state.

 

The Iowa False Claims Act entitles whistleblowers to collect 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 may then be entitled to receive in between 25 and 30 percent of the funds recovered as a reward, along with expenses. Whistleblowers are likewise afforded if the companies attempt any retaliation for whistleblowing.

Liability of the Defendant in Dubuque, Iowa

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

Statute of Limitations in Dubuque, 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 deceptive activity in Dubuque, Iowa, you may be able to submit a whistleblower suit on behalf of the state and collect a considerable 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 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 Dubuque, 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 Dubuque, 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 Dubuque, Iowa

When you become aware of fraud that may concern Medicare or Medicaid in Dubuque, Iowa, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is fully examined and submitted accurately and without delay. By working with a skilled attorney you are increasing the chance that the government will intervene, thus increasing the possibility for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to help in your battle against Medicare and Medicaid scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. All whistleblower cases are 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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