Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Flint city, Michigan

Medicaid and Medicare fraud cost Michigan taxpayers billions of dollars every year. Although many medical providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to submit lawsuits on behalf of the government to report this type of fraud.

The federal and state government place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on every day people in Michigan to come forward to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Flint city, Michigan

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. understand that coming forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Flint city, Michigan

Michigan loses countless dollars each year in Medicaid scams and relies on individuals to come forward with info relating to fraudulent activity. In the state of Michigan, whistleblowers can submit civil suits against companies and people who present false or fraudulent claims to the state under the Michigan Medicaid False Claims Act. Under the Act, it is also prohibited to pay or receive money in exchange for referrals paid by Medicaid.

 

The Act allows the whistleblower to submit a qui tam claim against the parties on behalf of the state government in order to recover funds lost due to scams. When the state government joins the suit, a whistleblower can get benefits in the amount of in between 15 and 25 percent of the recovery to the state. If the state elects not to get into the suit, the whistleblower might be granted between 25% and 30%  of the sum recovered.

 

Under whistleblower laws, the whistleblower is also safeguarded from any company retaliation against them in producing a suit.

Liability of the Defendant in Flint city, Michigan

If an offender is found guilty of defrauding the state, they might be ordered to pay up to triple the amount of real damage that they created, in addition to fines of in between $5,000 and $10,000 per specific violation.

Statute of Limitations in Michigan

Under the Michigan Medicaid False Claims Act, a whistleblower should submit their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

While the choice to come forward can be a challenging one, there is defense afforded under whistleblower laws. If you have information as it relates to Medicaid fraud in Flint city, Michigan, we can offer guidance and information on what it means to be a whistleblower and how you are secured under the law. Contact the experienced whistleblower attorneys at Khurana Law Firm for a confidential, no-cost consultation and to go over a prospective whistleblower claim.

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 Flint city, Michigan, 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 Flint city, Michigan,  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 Flint city, Michigan

When you become aware of potential fraud as it concerns Medicare or Medicaid in Flint city, Michigan, you need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally investigated and submitted accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicaid and Medicare scams is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to help in your battle against Medicaid and Medicare fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam suit to report the fraud and enable you to gather a reward. All whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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