Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Kansas City, Kansas

Medicaid and Medicare fraud cost Kansas taxpayers billions of dollars every year. While the majority of medical providers and drug companies are ethical and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit lawsuits on behalf of the federal or state government to help report this type of fraud.

The state and federal governments put a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government relies on every day people in Kansas to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Kansas City, Kansas

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and many things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Kansas City, Kansas

Although Kansas does not have a state false claims act of its own, a private individual who knows of deceitful Medicaid activity may file a whistleblower claim under the federal False Claims Act. This entitles a private citizen to submit a suit on behalf of the government to recuperate damages from deceitful activity. An effective recovery by the government may entitle the whistleblower to collect a reward and also offers security against company retaliation.

 

The federal government can elect to intervene in the suit or not to step in. If the federal government chooses to take part in the case, the whistleblower may gather in between 15 and 25 percent of the recovery. If the federal government selects not to join the suit, the whistleblower can collect between 25 and 30 percent of the recovery in addition to their expenses. Whistleblowers are shielded by the False Claims Act against any retaliation by the employer as a result of filing the suit.

Liability of the Defendant in Kansas City, Kansas

Under the federal False Claims Act, an accused can be bought to pay damages in the amount of approximately 3 times the financial damage to the federal government in addition to substantial fines for each infraction.

Statute of Limitations in Kansas City, Kansas

Under the federal False Claims Act, a whistleblower is required to submit their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you know of deceitful Medicaid activity in Kansas City, Kansas, you may file a whistleblower claim under the federal False Claims Act and gather a reward for your efforts. At Khurana Law Firm, we offer a confidential, no-cost assessment to discuss your case and your rights under the federal False Claims Act. Contact us to arrange a consultation.

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 Kansas City, Kansas, 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 Kansas City, Kansas,  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 Kansas City, Kansas

If you’ve become aware of fraud involving Medicaid or Medicare in Kansas City, Kansas, you need the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is completely examined and filed accurately and without delay. By working with an experienced attorney you are increasing the chance that the government will step in, therefore increasing the chance for a reward. Reporting Medicaid and Medicare scams is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam suit to report the fraud and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely 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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