Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Lenexa, Kansas

Medicaid and Medicare fraud cost Kansas taxpayers billions of dollars annually. While most medical service providers and drug companies are honest and work within the legal channels, some don’t. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower lawyers can help people who work in the healthcare system to submit claims on behalf of the government to report this sort of fraud.

The state and federal government put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it relies on regular folks in Kansas to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Lenexa, Kansas

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the market. We know that coming forward is not easy and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work relentlessly with both you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Lenexa, Kansas

While 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 an individual to submit a suit on behalf of the government to recuperate damages from deceitful activity. A successful recuperation by the government can entitle the whistleblower to collect a reward and offers security against employer retaliation.

 

The federal government can choose to intervene in the case or not. If the federal government picks to participate 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 case, the whistleblower can collect between 25 and 30 percent of the financial recovery in addition to their costs. Whistleblowers are safeguarded by the False Claims Act against any retaliation by the employer as a result of submitting the claim.

Liability of the Defendant in Lenexa, Kansas

Under the federal False Claims Act, an offender can be purchased to pay damages in the amount of as much as three times the monetary damage to the federal government in addition to significant fines for each violation.

Statute of Limitations in Lenexa, Kansas

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

Working With an Experienced Whistleblower Lawyer

If you are aware of deceitful Medicaid activity in Lenexa, Kansas, you may file a whistleblower claim under the federal False Claims Act and gather a financial reward for your efforts. At Khurana Law Firm, we provide a completely confidential, no-cost consultation 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 Lenexa, 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 Lenexa, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Lenexa, Kansas

When you become aware of fraudulent activity involving Medicare or Medicaid in Lenexa, Kansas, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is fully examined and submitted accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, thus increasing the chance for a 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 experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will examine 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 claim to help report the scams and enable you to gather a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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