Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Lawrence, Kansas

Medicaid and Medicare fraud cost Kansas taxpayers billions of dollars each year. While the majority of medical providers and drug companies are honest and work within the legal channels, some don’t. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower lawyers can help people who work in the healthcare system to file lawsuits on behalf of the government to help report these kinds of scams.

The state and federal government place a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on every day people in Kansas to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Lawrence, Kansas

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 challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Lawrence, Kansas

Although the state of Kansas doesn’t have a state false claims act of its own, a private citizen who has knowledge of deceptive Medicaid activity may file a whistleblower claim under the federal False Claims Act. This entitles a private citizen to submit a claim on behalf of the government to recover damages from deceptive activity. A successful recuperation by the government can entitle the whistleblower to gather a financial reward and offers protection against company retaliation.

 

The federal government can select to intervene in the lawsuit or not. If the federal government selects to join the lawsuit, the whistleblower may gather between 15 and 25 percent of the recovery. If the government selects not to join the lawsuit, the whistleblower can collect between 25 and 30 percent of the financial recovery in addition to their costs. Whistleblowers are shielded by the False Claims Act against any retaliation by the company as a result of filing the claim.

Liability of the Defendant in Lawrence, Kansas

Under the federal False Claims Act, a defendant can be bought to pay damages in the quantity of as much as 3 times the financial damage to the federal government in addition to considerable fines for each infraction.

Statute of Limitations in Lawrence, Kansas

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

Working With an Experienced Whistleblower Attorney

When you are aware of fraudulent Medicaid activity in Lawrence, Kansas, you might be able to submit a whistleblower suit under the federal False Claims Act and collect a reward for your efforts. At Khurana Law Firm, we provide a confidential, no-cost assessment in order to discuss your case and your rights under the federal False Claims Act. Contact us to set up 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 Lawrence, 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 Lawrence, 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 Lawrence, Kansas

If you’ve become aware of potential fraud as it concerns Medicare or Medicaid in Lawrence, Kansas, you may need the guidance of a knowledgeable whistleblower attorney, someone who can make sure that your claim is completely examined 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, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare 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 experience as national qui tam lawyers to help in your fight against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam claim to report the fraud and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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