Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Lake Charles, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars annually. While the majority of medical providers and drug companies are ethical and work within the legal channels, some don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments put a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on every day people in Louisiana to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Lake Charles, 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 scams in the market. understand that stepping forward is difficult and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work relentlessly with 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 Lake Charles, 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 file qui tam lawsuits if they know of and evidence of health care fraud on behalf of the state.

 

A qui tam or whistleblower lawsuit entitles a person to bring a civil suit against those who perpetrate fraud against the state health care assistance programs, including the Medicaid program. Under the Medical Assistance Programs Integrity Law, kickbacks in exchange for recommendations for medical services repaid by Medicaid are also illegal.

 

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

 

Under the Louisiana Medical Assistance Programs Integrity Law, a whistleblower is provided shield from any company retaliation that might arise from the suit.

Liability of the Defendant in Lake Charles, Louisiana

The accused in the claim may be required to pay the state of Louisiana as much as triple the amount of monetary harm to the state, in addition to penalties of between $5,000 and $11,000 per offense.

Statute of Limitations in Lake Charles, Louisiana

The whistleblower should file their lawsuit within 10 years of the date that the violation took place.

Working With an Experienced Whistleblower Lawyer

Those who have knowledge of deceptive activity in Lake Charles, Louisiana have the ability to file a whistleblower lawsuit on behalf of the state and collect a significant reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of fraud, we can help. At Khurana Law Firm, we have over 20 years of experience in intricate lawsuits, whistleblower, and qui tam law throughout the country. 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 Lake Charles, 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 Lake Charles, 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 ATTORNEY; We are proud to represent healthcare workers in Lake Charles, Louisiana

When you become aware of deceitful activity that may concern Medicaid or Medicare in Lake Charles, Louisiana, you require the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally investigated and filed accurately and without delay. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, hence increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complicated 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 legal representatives to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review 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 claim to help report the scams and enable you to collect a reward. Because all whistleblower cases are 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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