Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Lexington-Fayette, Kentucky

Medicaid and Medicare fraud cost Kentucky taxpayers billions of dollars annually. While many medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to file suits on behalf of the government to help report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Lexington-Fayette, Kentucky

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the market. understand that stepping forward is hard and numerous things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Lexington-Fayette, 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 submit a qui tam claim under the federal False Claims Act. This whistleblower legislation entitles a private citizen with knowledge and evidence of deceptive activity against the government to come forward, help recuperate damages, and hold the crooks liable.

 

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

 

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

If the government picks not to sign up with the lawsuit, the whistleblower can collect in between 25 and 30 percent of the recovery.

 

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

Liability of the Defendant in Lexington-Fayette, Kentucky

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

Statute of Limitations in Lexington-Fayette, Kentucky

A whistleblower must submit their complaint within ten 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 become aware of fraudulent Medicaid activity in the state of Kentucky, you may consider a qui tam suit under the federal False Claims Act. In this way, the government recuperates funds that were lost due to the deceitful activity while you gather a financial reward for your brave efforts.

 

At Khurana Law Firm, we have over 20 years of experience in intricate lawsuits, qui tam, and whistleblower law. We can help you decide whether to sue and offer a confidential consultation to discuss your options and rights under the federal False Claims Act. Contact us to arrange 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 are a healthcare worker in Lexington-Fayette, 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 Lexington-Fayette, 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 Lexington-Fayette, Kentucky

When you become aware of fraudulent activity as it concerns Medicaid or Medicare in Lexington-Fayette, Kentucky, you need the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is completely examined and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam suit to report the fraud and allow you to collect 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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