Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Olathe, Kansas

Medicare and Medicaid fraud cost Kansas taxpayers billions of dollars every year. While many medical providers and drug companies are ethical and work within the system, there are those who don’t. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit suits on behalf of the government to report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Olathe, Kansas

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the market. understand that stepping forward is not easy and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Olathe, Kansas

While Kansas doesn’t have a state false claims act of its own, a private individual who knows of deceitful Medicaid activity can file a whistleblower claim under the federal False Claims Act. This entitles a private citizen or a healthcare worker to file a lawsuit on behalf of the government to recuperate damages from deceptive activity. A successful recovery by the government may 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 to step in. If the federal government chooses to participate in the lawsuit, the whistleblower may gather in between 15 and 25 percent of the financial recovery. If the federal government chooses not to join the suit, the whistleblower can collect in between 25 and 30 percent of the recovery in addition to their costs. Whistleblowers are safeguarded by the False Claims Act against any retaliation by the company as an outcome of filing the suit.

Liability of the Defendant in Olathe, Kansas

Under the federal False Claims Act, an accused can be purchased to pay damages in the amount of up to 3 times the monetary harm to the government in addition to significant fines for each infraction.

Statute of Limitations in Olathe, Kansas

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

Working With an Experienced Whistleblower Attorney

When you know of deceitful Medicaid activity in Olathe, Kansas, you might be able to submit a whistleblower claim under the federal False Claims Act and collect a financial reward for your efforts. At Khurana Law Firm, we provide a completely confidential, no-cost assessment to discuss your case and your rights under the federal False Claims Act. Contact us to schedule an appointment.

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 Olathe, 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 Olathe, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Olathe, Kansas

When you become aware of fraudulent activity that may involve Medicaid or Medicare in Olathe, Kansas, you require the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and promptly. By working with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the opportunity for a 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 have years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam suit to help report the fraud and enable you to collect 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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