Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Metairie, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars annually. While the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare professionals to submit suits on behalf of the government to report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is difficult and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, and work tirelessly with you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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confidential consultation

Whistleblower Laws in Metairie, Louisiana

In Louisiana, the state false claims act is the Louisiana Medical Assistance Programs Integrity Law. This law makes it possible for private individuals 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 claim entitles an individual to bring a civil suit against those who perpetrate scams against the state medical assistance programs, including the Medicaid program. Under the Medical Assistance Programs Integrity Law, bribes for recommendations for medical services compensated by Medicaid are additionally unlawful.

 

In bringing a claim, the whistleblower might be awarded in between 15 and 25 percent of the state’s recovery should the state partipate in the suit. If the state elects not to to join and there is a recovery, 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 afforded protection from any company retaliation that may emerge from the claim.

Liability of the Defendant in Metairie, Louisiana

The offender in the lawsuit might be required 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 infraction.

Statute of Limitations in Metairie, Louisiana

The whistleblower needs to file their suit within 10 years of the date that the violation took place.

Working With an Experienced Whistleblower Lawyer

Those who have knowledge of deceitful activity in Metairie, Louisiana are able to submit a whistleblower lawsuit on behalf of the state and collect a considerable reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of fraud, we can assist. At Khurana Law Firm, we have more than 20 years of experience in intricate lawsuits, 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 Metairie, 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 Metairie, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Metairie, Louisiana

When you become aware of potential fraud as it concerns Medicare or Medicaid in Metairie, Louisiana, you may need the guidance of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally examined and filed accurately and without delay. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t attempt 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 Medicare and Medicaid scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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