Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in West Des Moines, Iowa

Medicaid and Medicare fraud cost Iowa taxpayers billions of dollars annually. While many medical companies and drug companies are ethical and work within the system, some do not. When fraud happens, everybody can lose. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to submit lawsuits on behalf of the government to help report these kinds of scams.

The state and federal government place a good deal 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 fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in West Des Moines, Iowa

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the market. understand that stepping forward is challenging and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in West Des Moines, Iowa

Whistleblower laws in Iowa are some of the strongest in the country. The Iowa False Claims Act deals with a broad range of fraud from health care scams to any type of business relationship or government contract involving state or community funds.

 

Under the Iowa False Claims Act, a private citizen or health care employee who has proof of fraud might submit a whistleblower suit on behalf of the state against anybody, business, or another entity that knowingly presents false or fraudulent claims, misuses state property, or avoids financial responsibilities 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 offenses. If the state chooses not to to prosecute, the whistleblower might then be entitled to receive between 25 and 30 percent of the funds recovered as a reward, as well as costs. Whistleblowers are likewise afforded should the employers attempt to retaliate for whistleblowing.

Liability of the Defendant in West Des Moines, Iowa

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

Statute of Limitations in West Des Moines, Iowa

Under the Iowa False Claims Act, a whistleblower must file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have proof of fraudulent activity in West Des Moines, Iowa, you might have the ability to file a whistleblower claim on behalf of the state and gather a significant reward for your efforts. At Khurana Law Firm, we have over 20 years of experience in complicated litigation, whistleblower and qui tam law. Contact us for a completely confidential, no-cost assessment and 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 West Des Moines, 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 West Des Moines, 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 West Des Moines, Iowa

When you become aware of potential fraud as it concerns Medicare or Medicaid in West Des Moines, Iowa, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is fully investigated and submitted accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud 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 prior experience as national qui tam lawyers to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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