Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Shawnee, Kansas

Medicaid and Medicare fraud cost Kansas taxpayers billions of dollars each year. Although many medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower lawyers help healthcare workers to submit claims on behalf of the government to report these kinds of scams.

The state and federal governments place a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on private citizens 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 Shawnee, 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 hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Shawnee, Kansas

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

 

The federal government can choose to intervene in the case or not to step in. If the federal government chooses to take part in the case, the whistleblower may gather between 15 and 25 percent of the recovery. If the government chooses not to join the lawsuit, the whistleblower can collect between 25 and 30 percent of the recovery in addition to their costs. Whistleblowers are shielded by the False Claims Act against any retaliation by the employer as an outcome of submitting the lawsuit.

Liability of the Defendant in Shawnee, Kansas

Under the federal False Claims Act, an offender can be ordered to pay damages in the amount of as much as 3 times the financial harm to the federal government in addition to significant fines for each offense.

Statute of Limitations in Shawnee, Kansas

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

Working With an Experienced Whistleblower Lawyer

If you have knowledge of deceitful Medicaid activity in Shawnee, Kansas, you might be able to submit a whistleblower suit under the federal False Claims Act and gather a reward for your efforts. At Khurana Law Firm, we provide a confidential, no-cost consultation 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 Shawnee, 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 Shawnee, 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 Shawnee, Kansas

When you become aware of fraud as it concerns Medicare or Medicaid in Shawnee, Kansas, you may need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is totally investigated and submitted accurately and quickly. By working with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a reward. Reporting Medicaid and Medicare scams 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 legal representatives to help in your fight against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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