Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are honest and work within the system, some do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers help healthcare professionals to submit suits on behalf of the federal or state government to help report this sort of fraud.

The federal and state government put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on private citizens in Missouri to come forward and to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Springfield, Missouri

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Springfield, Missouri

A person who is aware of deceitful Medicaid activity in the state might file a whistleblower match 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, despite the fact that Medicaid fraud might be a civil violation.

 

Instead, the private citizen can chose to file a claim under the federal False Claims Act.  When an individual does so, the federal government can choose to join a qui tam claim under the False Claims Act or decline to join. If the government picks 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 federal government decides not to be a party in the suit, the whistleblower can collect between 25 and 30 percent of the recovered funds and along with repayment for their costs connected with bringing the claim.

 

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

Liability of the Defendant in Springfield, Missouri

Under the federal False Claims Act, the offender may 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 likewise be required to pay substantial necessary penalties for each claim infraction.

Statute of Limitations in Springfield, 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 depends on brave private citizens who have proof of fraudulent Medicaid activity to come forward to hold these parties accountable. Consequently, they provide considerable benefits to these people who fearlessly submit whistleblower suits.

 

If you have knowledge of Medicaid fraud in Springfield, Missouri, we might be able to help. With over 20 years of experience in complicated litigation, qui tam, and whistleblower law, the Khurana Law Firm offers 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 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 Springfield, 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 Springfield, Missouri,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Springfield, Missouri

When you become aware of fraud involving Medicare or Medicaid in Springfield, Missouri, you need the advice of an experienced whistleblower lawyer, someone who can guarantee that your claim is totally examined and submitted accurately and without delay. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not attempt 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 legal representatives to help in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will evaluate 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 suit to report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

Service areas