Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Baton Rouge, Louisiana

Medicaid and Medicare fraud cost Louisiana taxpayers billions of dollars every year. While most medical providers and drug companies are ethical and work within the system, some don’t. When fraud happens, everybody loses. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to submit suits on behalf of the federal or state government to help report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the industry. We know that stepping forward is difficult 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 completely examine your claim, carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Baton Rouge, Louisiana

In Louisiana, the state false claims act is known as Louisiana Medical Assistance Programs Integrity Law. This law allows private individuals to submit qui tam claims if they know of and evidence of healthcare scams on behalf of the state.

 

A qui tam or whistleblower claim entitles a person to bring a civil suit against those who commit scams against the state health care assistance programs, such as the Medicaid program. Under the Medical Assistance Programs Integrity Law, kickbacks for recommendations for medical services compensated by Medicaid are additionally unlawful.

 

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

 

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

Liability of the Defendant in Baton Rouge, Louisiana

The defendant in the suit may be required to pay the state of Louisiana up to triple the amount of monetary harm to the state, in addition to charges of in between $5,000 and $11,000 per violation.

Statute of Limitations in Baton Rouge, Louisiana

The whistleblower should file their claim within 10 years of the date that the offense took place.

Working With an Experienced Whistleblower Attorney

Those who have knowledge of deceitful activity in Baton Rouge, Louisiana are able to submit a whistleblower suit on behalf of the state and gather a substantial financial reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of scams, 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 completely confidential, no-cost assessment to discuss your rights and alternatives 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 Baton Rouge, 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 Baton Rouge, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Baton Rouge, Louisiana

When you become aware of fraud that may concern Medicare or Medicaid in Baton Rouge, Louisiana, you need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is fully examined and submitted accurately and immediately. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not 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 battle against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam suit to report the fraud and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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