Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Lee's Summit, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars every year. While many medical providers and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to file suits on behalf of the federal or state government to help report this type of fraud.

The federal and state government put 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 fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Lee's Summit, Missouri

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. We know that coming forward is not simple and numerous things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Lee's Summit, Missouri

A person who knows of fraudulent Medicaid activity in Missouri may 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 have the ability to bring a qui tam suit on behalf of the state, even though Medicaid scams might be a civil violation.

 

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

 

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

Liability of the Defendant in Lee's Summit, Missouri

Under the federal False Claims Act, the defendant might be ordered to pay damages to the government in the quantity of as much as 3 times the amount of financial harm. In addition, the offender will also be ordered to pay substantial obligatory charges for each claim offense.

Statute of Limitations in Lee's Summit, Missouri

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

Working With an Experienced Whistleblower Attorney

The federal government depends on brave individuals who have proof of deceptive Medicaid activity to come forward to hold these entities responsible. Consequently, the government provides substantial benefits to these individuals who bravely submit whistleblower lawsuits.

 

If you know of Medicaid scams in Lee’s Summit, Missouri, we may be able to help. With over 20 years of experience in complex lawsuits, qui tam, and whistleblower law, the Khurana Law Firm provides a no-cost assessment so we can discuss the elements of your case and help you understand your rights under the False Claims Act. Contact us to set up 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 Lee’s Summit, 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 Lee’s Summit, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Lee's Summit, Missouri

When you become aware of fraud that may involve Medicare or Medicaid in Lee’s Summit, Missouri, you require the advice of a skilled whistleblower attorney, someone who can make sure that your claim is totally examined and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will step in, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare scams is a complex matter –  do not attempt 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 help in your fight against Medicare and Medicaid fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam suit to report the scams and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can help.

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