Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Florissant, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everyone can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to submit lawsuits on behalf of the federal or state government to report these kinds of scams.

The federal and state governments place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government depends on regular folks in Missouri to come forward and to report scams. People like you.

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

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

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work tirelessly 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 Florissant, Missouri

A person who knows of deceitful Medicaid activity in the state might file a whistleblower fit 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 suit on behalf of the state, despite the fact that Medicaid fraud might be a civil infraction.

 

Instead, the private citizen can elect to file a claim under the federal False Claims Act.  When a private citizen does so, the federal government can choose to join a qui tam suit under the False Claims Act or decline to join. If the government picks to sign up with, a whistleblower may be able to gather between 15 and 25 percent of the recovery by the government as a reward. If the government decides not to be a participant in the litigation, the whistleblower can collect in between 25 and 30 percent of the recovery and along with repayment for their expenses associated with bringing the claim.

 

Under the federal False Claims Act, a whistleblower is likewise safeguarded against any company retaliation as an outcome of submitting a lawsuit.

Liability of the Defendant in Florissant, Missouri

Under the federal False Claims Act, the defendant may be ordered to pay damages to the federal government in the quantity of up to three times the amount of financial damage. In addition, the accused will also be required to pay significant mandatory charges for each claim violation.

Statute of Limitations in Florissant, Missouri

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

Working With an Experienced Whistleblower Attorney

The government depends on heroic private citizens who have proof of fraudulent Medicaid activity to come forward to hold these entities accountable. Consequently, the government offers significant benefits to these people who fearlessly submit whistleblower lawsuits.

 

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

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 Florissant, 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 Florissant, 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 Florissant, Missouri

When you become aware of fraud involving Medicaid or Medicare in Florissant, Missouri, you may need the guidance of a knowledgeable whistleblower attorney, someone who can make sure that your claim is totally examined and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam suit to report the fraud and enable you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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