Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Chesterfield, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars every year. While the majority of medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower attorneys help healthcare workers to submit suits on behalf of the federal or state government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Chesterfield, Missouri

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams 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 at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Chesterfield, Missouri

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

 

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

 

Instead, the private citizen can select to file a claim under the federal False Claims Act.  When they do so, the federal government can choose to join a qui tam claim under the False Claims Act or decline to join. If the government chooses to sign up with, a whistleblower might be able to gather between 15 and 25 percent of the funds recovered by the federal government as a financial reward. If the government chooses not to be a participant in the lawsuit, the whistleblower can get in between 25 and 30 percent of the recovered funds and as well as reimbursement for their expenses connected with bringing the claim.

 

Under the federal False Claims Act, a whistleblower is also protected against any employer retaliation as a result of filing a lawsuit.

Liability of the Defendant in Chesterfield, Missouri

Under the federal False Claims Act, the offender may be ordered to pay damages to the government in the amount of as much as three times the amount of financial damage. In addition, the defendant will likewise be ordered to pay substantial mandatory charges for each claim infraction.

Statute of Limitations in Chesterfield, Missouri

Under the federal False Claims Act, a whistleblower must submit their suit within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

The government relies on heroic private citizens who have proof of deceptive Medicaid activity to come forward to hold these entities responsible. Subsequently, the government provides significant benefits to these people who bravely file whistleblower suits.

 

If you know of Medicaid scams in Chesterfield, Missouri, we might be able to help. With over 20 years of experience in complex litigation, qui tam, and whistleblower law, the Khurana Law Firm provides a no-cost assessment so we can talk about the elements of your case and help you understand your rights under the False Claims Act. Contact us to set up a visit.

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 Chesterfield, 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 Chesterfield, 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 ATTORNEY; We are proud to represent healthcare workers in Chesterfield, Missouri

If you’ve become aware of fraudulent activity involving Medicaid or Medicare in Chesterfield, Missouri, you need the advice of a skilled whistleblower attorney, someone who can make sure that your claim is fully examined and submitted accurately and promptly. 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 financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t try 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 assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam claim to report the fraud and enable you to gather a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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