Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Owensboro, Kentucky

Medicaid and Medicare fraud cost Kentucky taxpayers billions of dollars each year. While the majority of medical companies and drug companies are ethical and work within the system, some do not. When fraud occurs, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit suits on behalf of the government to help report this sort of fraud.

The federal and state governments place a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government counts on regular folks in Kentucky to come forward and to report fraud. People like you.

Work with

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the market. We know that coming forward is not simple and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Owensboro, Kentucky

The state of Kentucky does not have a state false claims act of its own. However, if you have knowledge of Medicaid scams in the state of Kentucky, you might have the ability to file a qui tam lawsuit under the federal False Claims Act. This whistleblower law entitles a private citizen with knowledge and proof of deceitful activity against the government to step forward, help recuperate damages, and hold the offenders liable.

 

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

 

If the federal government selects to sign up with the case, the whistleblower may gather in between 15 and 25 percent of the financial recovery.

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

 

Whistleblowers are likewise afforded defense under the federal False Claims Act against any retaliation by a company that may arise from the claim.

Liability of the Defendant in Owensboro, Kentucky

Under the federal False Claims Act, an offender may be required to pay damages in the amount of as much as three times the financial damage to the government. They may likewise be required to pay considerable fines for every infraction.

Statute of Limitations in Owensboro, Kentucky

A whistleblower should file their complaint within 10 years of the date of the infraction in Kentucky.

Working With an Experienced Whistleblower Attorney

The government depends 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 think about a qui tam claim under the federal False Claims Act. In this way, the government recovers funds that were lost due to the fraudulent activity while you gather a financial reward for your brave efforts.

 

At Khurana Law Firm, we have more than 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 set up 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 Owensboro, 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 Owensboro, 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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Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Owensboro, Kentucky

If you’ve become aware of potential fraud that may involve Medicaid or Medicare in Owensboro, Kentucky, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is fully investigated and filed accurately and quickly. By dealing with an experienced attorney you are increasing the chance that the government will step in, hence increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam lawyers to help in your battle against Medicare and Medicaid scams. Our attorneys will evaluate 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 lawsuit to help report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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