Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Covington, Kentucky

Medicaid and Medicare fraud cost Kentucky taxpayers billions of dollars each year. While the majority of medical providers and drug companies are honest and work within the system, there are those who do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to submit lawsuits on behalf of the federal or state government to report this sort of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it depends on every day people in Kentucky to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Covington, Kentucky

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the industry. We know that coming forward is not easy and many 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 you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Covington, Kentucky

The state of Kentucky does not have a state false claims act of its own. But, if you know of Medicaid scams in the state of Kentucky, you may be able to file a qui tam claim under the federal False Claims Act. This whistleblower legislation entitles a private citizen with knowledge and proof of deceptive activity against the government to step forward, help recuperate damages, and hold the wrongdoers liable.

 

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

 

If the federal government picks to sign up with the suit, the whistleblower might collect in between 15 and 25 percent of the financial recovery.

If the government selects not to sign up with the litigation, the whistleblower can gather in between 25 and 30 percent of the recovery.

 

Whistleblowers are also provided defense under the federal False Claims Act against any retaliation by an employer that may result from the suit.

Liability of the Defendant in Covington, Kentucky

Under the federal False Claims Act, a defendant may be required to pay damages in the quantity of approximately three times the monetary harm to the government. They may also be required to pay substantial fines for every violation.

Statute of Limitations in Covington, Kentucky

A whistleblower needs to file their complaint within 10 years of the date of the offense in Kentucky.

Working With an Experienced Whistleblower Lawyer

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

 

At Khurana Law Firm, we have more than 20 years of experience in intricate litigation, qui tam, and whistleblower law. We can help you decide whether to file a claim and offer a completely confidential consultation to discuss your alternatives and rights under the federal False Claims Act. Contact us to arrange a no-cost, no-obligation consultation.

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 Covington, Kentucky, 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 Covington, Kentucky,  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 Covington, Kentucky

When you become aware of fraud as it concerns Medicare or Medicaid in Covington, Kentucky, you require the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and submitted accurately and without delay. By working with an experienced lawyer you are increasing the chance that the government will intervene, therefore increasing the chance for a reward. Reporting Medicaid and Medicare scams 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 Medicare and Medicaid scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we can represent you in a qui tam claim to help report the fraud and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can be of help.

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