Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Lafayette, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars each year. Although most medical providers and drug companies are honest and work within the system, some do not. When fraud occurs, everyone can lose. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to file lawsuits on behalf of the government to report this type of fraud.

The federal and state governments put a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it depends on regular folks in Louisiana to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Lafayette, Louisiana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is not simple and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Lafayette, Louisiana

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

 

A qui tam or whistleblower claim entitles an individual 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 reimbursed by Medicaid are also unlawful.

 

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

 

Under the Louisiana Medical Assistance Programs Integrity Law, a whistleblower is provided defense from any company retaliation that might develop from the claim.

Liability of the Defendant in Lafayette, Louisiana

The offender in the lawsuit may be ordered to pay the state of Louisiana up to triple the amount of financial damage to the state, in addition to penalties of in between $5,000 and $11,000 per infraction.

Statute of Limitations in Lafayette, Louisiana

The whistleblower needs to file their claim within 10 years of the date that the violation happened.

Working With an Experienced Whistleblower Attorney

Those who have knowledge of deceptive activity in Lafayette, Louisiana have the ability to submit a whistleblower claim on behalf of the state and collect a substantial reward under the Louisiana Medical Assistance Programs Integrity Law. If you have evidence of scams, we can assist. At Khurana Law Firm, we have over 20 years of experience in complicated 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 Lafayette, 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 Lafayette, 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 Lafayette, Louisiana

If you’ve become aware of fraudulent activity that may concern Medicaid or Medicare in Lafayette, Louisiana, you require the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally examined and submitted accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t 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 attorneys to help in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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