Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Blue Springs, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars annually. While many medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to file lawsuits on behalf of the federal or state government to help report this type of fraud.

The federal and state government place a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on private citizens in Missouri to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Blue Springs, Missouri

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the industry. We know that stepping forward is hard and many 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 completely investigate your claim, diligently and 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 Blue Springs, Missouri

A person who learns of fraudulent Medicaid activity in the state might file a whistleblower suit under the federal False Claims Act, and be rewarded for their efforts.

 

Though Missouri has actually enacted the Missouri Health Care Payment Fraud and Abuse Act, a whistleblower will not be able to bring a qui tam claim on behalf of the state, although Medicaid scams might be a civil violation.

 

Instead, the individual can elect to file a claim under the federal False Claims Act.  If they do so, the federal government can decide to sign up with a qui tam suit under the False Claims Act or decline to join. If the government picks to join, a whistleblower might be able to collect in between 15 and 25 percent of the recovery by the government as a reward. If the federal government chooses not to be a party in the case, the whistleblower can collect in between 25 and 30 percent of the recovered funds and along with reimbursement for their expenses related to bringing the claim.

 

Under the federal False Claims Act, a whistleblower is also shielded against any company retaliation as a result of filing a suit.

Liability of the Defendant in Blue Springs, Missouri

Under the federal False Claims Act, the offender might be ordered to pay damages to the federal government in the amount of as much as 3 times the amount of financial harm. In addition, the offender will likewise be required to pay significant compulsory penalties for each claim offense.

Statute of Limitations in Blue Springs, Missouri

Under the federal False Claims Act, a whistleblower is required to file their suit within 10 years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

The federal government counts on heroic individuals who have evidence of fraudulent Medicaid activity to come forward to hold these entities liable. Subsequently, they offer significant benefits to these individuals who fearlessly file whistleblower suits.

 

If you are aware of Medicaid scams in Blue Springs, Missouri, we may be able to help. With over 20 years of experience in complicated lawsuits, qui tam, and whistleblower law, the Khurana Law Firm offers a no-cost assessment so we can go over the elements of your case and help you understand your rights under the False Claims Act. Contact us to schedule a consultation.

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 Blue Springs, Missouri, 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 Blue Springs, Missouri,  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 Blue Springs, Missouri

When you become aware of potential fraud that may concern Medicare or Medicaid in Blue Springs, Missouri, you require the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and promptly. By working with an experienced lawyer you are increasing the chance that the federal or state government will step in, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is an intricate 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 attorneys to help in your battle against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam suit to report the scams and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can help.

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