Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Louisville/Jefferson County metro government (balance), Kentucky

Medicare and Medicaid fraud cost Kentucky taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit lawsuits on behalf of the government to report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Louisville/Jefferson County metro government (balance), Kentucky

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Louisville/Jefferson County metro government (balance), Kentucky

The state of Kentucky does not have a state false claims act of its own. However, if you have knowledge of Medicaid fraud in the state of Kentucky, you may have the ability to submit a qui tam suit under the federal False Claims Act. This whistleblower law entitles a private citizen with knowledge and evidence of deceptive activity against the government to step forward, help recover damages, and hold the wrongdoers liable.

 

Submitting an effective whistleblower suit under the False Claims Act likewise entitles the whistleblower to gather a financial reward based upon a portion of the recovery as follows:

 

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

If the government chooses not to join the suit, the whistleblower can gather in between 25 and 30 percent of the financial recovery.

 

Whistleblowers are also provided protection under the federal False Claims Act against any retaliation by a company that may result from the suit.

Liability of the Defendant in Louisville/Jefferson County metro government (balance), Kentucky

Under the federal False Claims Act, a defendant might be ordered to pay damages in the amount of approximately three times the financial damage to the government. They might also be ordered to pay considerable fines for each offense.

Statute of Limitations in Louisville/Jefferson County metro government (balance), 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 counts on whistleblowers every day to weed out fraud at the federal level. If you have become aware of deceitful Medicaid activity in the state of Kentucky, you might consider a qui tam suit under the federal False Claims Act. In this way, the government recovers funds that were lost due to the deceitful activity while you gather a 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 assessment to discuss your options and rights under the federal False Claims Act. Contact us to set up 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 Louisville/Jefferson County metro government (balance), 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 Louisville/Jefferson County metro government (balance), Kentucky,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Louisville/Jefferson County metro government (balance), Kentucky

When you become aware of potential fraud that may concern Medicaid or Medicare in Louisville/Jefferson County metro government (balance), Kentucky, you need the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely investigated and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your battle against Medicare and Medicaid scams. We will review 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 suit to report the scams and allow you to gather a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can be of help.

Service areas