Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Kansas taxpayers billions of dollars every year. While most medical service providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file lawsuits on behalf of the government to help report this sort of fraud.

The federal and state governments place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on regular folks in Kansas to come forward to report scams. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is not simple and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Overland Park, Kansas

While the state of Kansas doesn’t have a state false claims act of its own, a private citizen who has learned of fraudulent Medicaid activity can file a whistleblower claim under the federal False Claims Act. This entitles a private citizen to file a lawsuit on behalf of the government to recuperate damages from fraudulent activity. A successful recuperation by the government may entitle the whistleblower to collect a reward and offers security against company retribution.

 

The federal government can choose to intervene in the case or not to step in. If the federal government selects to participate in the lawsuit, the whistleblower may collect in between 15 and 25 percent of the financial recovery. If the federal government selects not to take part in the case, the whistleblower can collect in between 25 and 30 percent of the recovery in addition to their costs. Whistleblowers are protected by the False Claims Act against any retaliation by the company as a result of submitting the lawsuit.

Liability of the Defendant in Overland Park, Kansas

Under the federal False Claims Act, a defendant can be ordered to pay damages in the quantity of approximately 3 times the financial damage to the government in addition to significant fines for each violation.

Statute of Limitations in Overland Park, Kansas

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

Working With an Experienced Whistleblower Lawyer

When you have knowledge of deceitful Medicaid activity in Overland Park, Kansas, you may 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 arrange 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 Overland Park, 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 Overland Park, 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 ATTORNEY; We are proud to represent healthcare workers in Overland Park, Kansas

If you’ve become aware of fraud that may concern Medicare or Medicaid in Overland Park, Kansas, you need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing your chances for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t 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 legal representatives to assist in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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