Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Waterloo, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to file lawsuits on behalf of the government to report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Waterloo, Iowa

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. understand 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 comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Waterloo, 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 broad range of fraud 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 individual or health care staff member who has evidence of scams might file a whistleblower claim on behalf of the state against any individual, business, or entity that purposefully presents incorrect or deceitful claims, abuses state property, or avoids monetary obligations 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 chooses not to 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 if the employers attempt any retaliation for whistleblowing.

Liability of the Defendant in Waterloo, Iowa

Under the Iowa False Claims Act, an offender can be ordered to pay damages in the amount of as much as 3 times the financial damage to the state in addition to considerable fines for each infraction.

Statute of Limitations in Waterloo, Iowa

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

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceitful activity in Waterloo, Iowa, you might be able to file 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 complicated 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 Waterloo, 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 Waterloo, 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 ATTORNEY; We are proud to represent healthcare workers in Waterloo, Iowa

If you’ve become aware of deceitful activity that may involve Medicare or Medicaid in Waterloo, Iowa, you require the advice of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and quickly. By working 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 Medicare and Medicaid fraud is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. Because 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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