Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in St. Charles, Missouri

Medicaid and Medicare fraud cost Missouri taxpayers billions of dollars every year. Although many medical service providers and drug companies are honest and work within the system, there are those who do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare professionals to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in St. Charles, Missouri

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand that coming forward is not easy and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, and work relentlessly with you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in St. Charles, Missouri

A person who learns of deceitful Medicaid activity in Missouri may submit a whistleblower fit 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, despite the fact that Medicaid fraud might be a civil offense.

 

Instead, the individual can elect to file a claim under the federal False Claims Act.  If an individual does so, the federal government can choose to sign up with a qui tam claim under the False Claims Act or decline to join. If the federal 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 financial reward. If the government decides not to be a participant in the lawsuit, the whistleblower can get between 25 and 30 percent of the recovered funds and along with reimbursement for their expenses related to bringing the lawsuit.

 

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

Liability of the Defendant in St. Charles, Missouri

Under the federal False Claims Act, the offender 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 likewise be required to pay significant compulsory charges for each claim infraction.

Statute of Limitations in St. Charles, Missouri

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

Working With an Experienced Whistleblower Lawyer

The federal government depends on brave private citizens who have evidence of fraudulent Medicaid activity to come forward to hold these parties responsible. Consequently, they provide significant benefits to these individuals who fearlessly file whistleblower lawsuits.

 

If you have knowledge of Medicaid fraud in St. Charles, Missouri, we might be able to help. With over 20 years of experience in complex lawsuits, qui tam, and whistleblower law, the Khurana Law Firm offers 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 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 St. Charles, 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 St. Charles, 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 St. Charles, Missouri

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in St. Charles, Missouri, you may need the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and quickly. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare 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 experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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