Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in St. Joseph, Missouri

Medicare and Medicaid fraud cost Missouri taxpayers billions of dollars annually. While the majority of medical providers and drug companies are honest and work within the system, some do not. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to file lawsuits on behalf of the government to help report these kinds of scams.

The federal and state governments place a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it depends on every day people in Missouri to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in St. Joseph, Missouri

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

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, diligently 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 St. Joseph, Missouri

An individual who is aware of deceptive Medicaid activity in the state 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 be able to bring a qui tam suit on behalf of the state, despite the fact that Medicaid scams might be a civil violation.

 

Instead, the individual can select to file a claim under the federal False Claims Act.  If they do so, the federal government can decide to sign up with a qui tam lawsuit under the False Claims Act or decline to do so. If the federal 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 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 repayment for their expenses connected with bringing the case.

 

Under the federal False Claims Act, a whistleblower is also shielded against any company retaliation as a result of filing a claim.

Liability of the Defendant in St. Joseph, 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 damage. In addition, the accused will likewise be required to pay considerable obligatory penalties for each claim violation.

Statute of Limitations in St. Joseph, Missouri

Under the federal False Claims Act, a whistleblower is required to submit their lawsuit within ten years of the date of the offense.

Working With an Experienced Whistleblower Attorney

The federal government relies on brave individuals who have evidence of deceptive Medicaid activity to come forward to hold these entities accountable. Subsequently, the government offers considerable rewards to these people who bravely file whistleblower claims.

 

If you are aware of Medicaid scams in St. Joseph, Missouri, we may be able to help. With over 20 years of experience in complex litigation, qui tam, and whistleblower law, the Khurana Law Firm provides a no-cost consultation so we can talk about the elements of your case and help you understand your rights under the False Claims Act. Contact us to set up 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 St. Joseph, 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. Joseph, 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 St. Joseph, Missouri

If you’ve become aware of fraud involving Medicare or Medicaid in St. Joseph, Missouri, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is fully examined and submitted accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will review 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 claim to help report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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