Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Kansas taxpayers billions of dollars annually. While many medical service providers and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit claims on behalf of the government to help report these kinds of scams.

The state and federal governments place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on every day people in Kansas to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Topeka, Kansas

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. We know that stepping forward is hard and many things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Topeka, Kansas

While Kansas does not have a state false claims act of its own, a private citizen who knows of fraudulent Medicaid activity can file a whistleblower claim under the federal False Claims Act. This entitles a private citizen or a healthcare worker to submit a lawsuit on behalf of the government to recover damages from deceitful activity. A successful recuperation by the government may entitle the whistleblower to gather a financial reward and offers security against company retribution.

 

The federal government can choose to intervene in the suit or not. If the federal government picks to participate in the case, the whistleblower might collect in between 15 and 25 percent of the recovery. If the government chooses not to take part in the suit, the whistleblower can collect between 25 and 30 percent of the financial recovery in addition to their costs. Whistleblowers are protected by the False Claims Act against any retaliation by the company as an outcome of filing the claim.

Liability of the Defendant in Topeka, Kansas

Under the federal False Claims Act, an accused can be purchased to pay damages in the amount of up to three times the financial harm to the government in addition to substantial fines for each offense.

Statute of Limitations in Topeka, 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

If you are aware of deceitful Medicaid activity in Topeka, Kansas, you might submit a whistleblower suit under the federal False Claims Act and collect a financial reward for your efforts. At Khurana Law Firm, we offer a confidential, no-cost assessment in order 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 Topeka, 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 Topeka, 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 LAWYER; We are proud to represent healthcare workers in Topeka, Kansas

If you’ve become aware of fraud that may concern Medicare or Medicaid in Topeka, Kansas, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally examined and filed accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the government will step in, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare 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 prior experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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