Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Kentucky

Medicaid and Medicare fraud cost Kentucky taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the system, some don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys can help healthcare workers to submit suits on behalf of the federal or state government to help report this sort of fraud.

The state and federal government put a a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government relies on private citizens in Kentucky to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Kentucky

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

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

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Whistleblower Laws in Kentucky

The state of Kentucky does not have a state false claims act of its own. But if you have knowledge of Medicaid fraud in the state of Kentucky, you may be able to file a qui tam lawsuit under the federal False Claims Act. This whistleblower law entitles a private individual with knowledge and evidence of fraudulent activity against the government to come forward, help recover damages, and hold the wrongdoers accountable. 

 

Filing a successful whistleblower lawsuit under the False Claims Act also entitles the whistleblower to collect a reward based on a percentage of the recovery as follows:

 

  • If the federal government chooses to join the suit, the whistleblower may collect between 15 and 25 percent of the recovery. 
  • If the government chooses not to join the suit, the whistleblower can collect between 25 and 30 percent of the recovery.

 

Whistleblowers are also afforded protection under the federal  False Claims Act against any retaliation by an employer that may result from the lawsuit.

Liability of the Defendant in Kentucky

Under the federal False Claims Act, a defendant may be ordered to pay damages in the amount of up to three times the financial harm to the government. They may also be ordered to pay substantial fines for every violation.

Statute of Limitations in Kentucky

A whistleblower must file their complaint within ten years of the date of the violation in Kentucky.

Working With an Experienced Whistleblower Attorney

The government relies on whistleblowers every day to weed out fraud at the federal level. If you have become aware of fraudulent Medicaid activity in the state of Kentucky, you may consider a qui tam lawsuit under the federal False Claims Act. In this way, the government recovers funds that were lost due to the fraudulent activity while you collect a reward for your heroic efforts. 


At Khurana Law Firm, we have over 20 years of experience in complex litigation, qui tam and whistleblower law. We can help you decide whether to file a claim and offer a confidential consultation to discuss your options and rights under the federal False Claims Act. Contact us to schedule a no-cost, no-obligation 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 can report it 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. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With An Experienced WHISTLEBLOWER LAWYER

If you’ve become aware of deceitful activity that may concern Medicaid or Medicare, you may need the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, thus increasing the opportunity for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t try 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 lawyers to assist in your fight against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam suit to help report the fraud and enable you to gather a reward. All whistleblower work is 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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