Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Joplin, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars each year. While most medical providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to file suits on behalf of the federal or state government to report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Joplin, Missouri

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. understand that coming forward is hard and lots of 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, carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Joplin, Missouri

A person who learns of deceitful Medicaid activity in the state might submit a whistleblower match 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 be able to bring a qui tam lawsuit on behalf of the state, despite the fact that Medicaid scams may be a civil infraction.

 

Instead, the private citizen can elect to file a claim under the federal False Claims Act.  When they do so, the federal government can decide to join a qui tam suit under the False Claims Act or decline to do so. If the federal government selects to join, a whistleblower may be able to gather in between 15 and 25 percent of the recovery by the federal government as a financial reward. If the federal government decides not to be a party in the lawsuit, the whistleblower can get in between 25 and 30 percent of the recovery and as well as reimbursement for their costs connected with bringing the case.

 

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

Liability of the Defendant in Joplin, Missouri

Under the federal False Claims Act, the offender might be ordered to pay damages to the federal government in the quantity of up to 3 times the amount of financial harm. In addition, the offender will likewise be required to pay substantial necessary penalties for each claim infraction.

Statute of Limitations in Joplin, Missouri

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

Working With an Experienced Whistleblower Lawyer

The government relies on heroic individuals who have evidence of deceptive Medicaid activity to come forward to hold these parties responsible. As a result, the government provides substantial benefits to these people who fearlessly submit whistleblower suits.

 

If you have knowledge of Medicaid scams in Joplin, Missouri, we may be able to help. With over 20 years of experience in complicated litigation, qui tam, and whistleblower law, the Khurana Law Firm provides 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 arrange 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 Joplin, 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 Joplin, 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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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Joplin, Missouri

When you become aware of fraudulent activity as it concerns Medicaid or Medicare in Joplin, Missouri, you require the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and promptly. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the possibility for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to help in your fight against Medicare and Medicaid scams. We will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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