Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Kenner, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars annually. While most medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to file lawsuits on behalf of the government to report these kinds of scams.

The state and federal government place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it depends on private citizens in Louisiana to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Kenner, Louisiana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. We know that stepping forward is not simple and numerous things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Kenner, 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 claims if they have knowledge and evidence of health care fraud on behalf of the state of Louisiana.

 

A qui tam or whistleblower suit 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, bribes in exchange for referrals for medical services reimbursed by Medicaid are also illegal.

 

In bringing a suit, the whistleblower might be granted in between 15 and 25 percent of the state’s recovery should the state partipate in the lawsuit. If the state elects not to 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 provided protection from any employer retaliation that may emerge from the suit.

Liability of the Defendant in Kenner, Louisiana

The offender in the suit may be ordered 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 Kenner, Louisiana

The whistleblower should file their lawsuit within 10 years of the date that the infraction occurred.

Working With an Experienced Whistleblower Attorney

Those who know of deceptive activity in Kenner, Louisiana have the ability to submit a whistleblower claim on behalf of the state and gather a significant reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of scams, we can help. At Khurana Law Firm, we have more than 20 years of experience in intricate litigation, whistleblower, and qui tam law throughout the United States. Contact us for a confidential, no-cost consultation 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 Kenner, 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 Kenner, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Kenner, Louisiana

If you’ve become aware of fraud that may involve Medicaid or Medicare in Kenner, Louisiana, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing your chances for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not 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 legal representatives to help in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam suit to report the fraud and enable you to gather a reward. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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