Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Iowa City, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it depends on private citizens 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 Iowa City, Iowa

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. We know that stepping forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive 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 help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Iowa City, 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 deals with a large array of fraud from health care scams to any kind of business relationship or government agreement involving state or community funds.

 

Under the Iowa False Claims Act, a private citizen or healthcare staff member who has evidence of fraud may file a whistleblower lawsuit on behalf of the state against anybody, business, or another entity that purposefully provides false or fraudulent claims, abuses state property, or avoids monetary responsibilities to the state.

 

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

Liability of the Defendant in Iowa City, Iowa

Under the Iowa False Claims Act, a defendant can be ordered to pay damages in the amount of as much as 3 times the financial harm to the state in addition to substantial fines for each violation.

Statute of Limitations in Iowa City, Iowa

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

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceitful activity in Iowa City, Iowa, you may be able to file 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 intricate litigation, whistleblower and qui tam law. Contact us for a confidential, no-cost assessment 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 Iowa City, 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 Iowa City, 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 ATTORNEY; We are proud to represent healthcare workers in Iowa City, Iowa

When you become aware of potential fraud as it concerns Medicaid or Medicare in Iowa City, Iowa, you require the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is fully examined and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t try 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 lawyers to assist in your battle against Medicaid and Medicare fraud. We will review your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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