Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Alexandria, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars each year. While the majority of medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit claims on behalf of the federal or state government to report this type of fraud.

The state and federal government place a lot of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government depends on regular folks in Louisiana to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Alexandria, Louisiana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that coming forward is difficult and lots of things might 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 and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Alexandria, Louisiana

In Louisiana, the state false claims act is the Louisiana Medical Assistance Programs Integrity Law. This law makes it possible for private citizens to submit qui tam suits if they have knowledge and evidence of health care scams on behalf of the state.

 

A qui tam or whistleblower lawsuit entitles a person to bring a civil claim against those who commit fraud against the state medical assistance programs, such as the Medicaid program. Under the Medical Assistance Programs Integrity Law, kickbacks in exchange for referrals for medical services compensated by Medicaid are also prohibited.

 

In bringing a claim, the whistleblower might be granted in between 15 and 25 percent of the state’s recovery should the state join the lawsuit. If the state declines to join and there is a recovery, the whistleblower may be awarded between 25 and 35 percent of the funds recovered.

 

Under the Louisiana Medical Assistance Programs Integrity Law, a whistleblower is afforded shield from any company retaliation that may arise from the claim.

Liability of the Defendant in Alexandria, Louisiana

The defendant in the suit might be ordered to pay the state of Louisiana up to triple the amount of financial harm to the state, in addition to penalties of in between $5,000 and $11,000 per offense.

Statute of Limitations in Alexandria, Louisiana

The whistleblower should submit their claim within 10 years of the date that the infraction occurred.

Working With an Experienced Whistleblower Attorney

Those who know of deceitful activity in Alexandria, Louisiana have the ability to file a whistleblower lawsuit on behalf of the state and gather a significant financial reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of fraud, we can assist. At Khurana Law Firm, we have over 20 years of experience in intricate lawsuits, whistleblower, and qui tam law throughout the United States. Contact us for a confidential, no-cost consultation in order to discuss your rights and options under the law.

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 Alexandria, Louisiana, 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 Alexandria, Louisiana,  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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Alexandria, Louisiana

If you’ve become aware of deceptive activity that may concern Medicare or Medicaid in Alexandria, Louisiana, you may need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is completely investigated and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing your chances for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t 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 assist in your fight against Medicaid and Medicare fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam suit to help report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can be of help.

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