Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Bozeman, Montana

Medicaid and Medicare fraud cost Montana taxpayers billions of dollars annually. While the majority of 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 attorneys can assist healthcare professionals to file claims on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Bozeman, Montana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the industry. We know that coming forward is not simple and lots of things might 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 investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Bozeman, Montana

State governments rely on individual whistleblowers with knowledge of Medicaid fraud to step forward to keep deceptive activity in check and punish those who execute infractions. A private citizen who has knowledge of deceitful activity against the Montana Medicaid program may submit a whistleblower lawsuit under the Montana False Claims Act.

 

A whistleblower, or qui tam lawsuit, is a civil suit on behalf of the state of Montana that holds those who carry out deceptive activity liable for their offenses and recovers monetary losses to the state of Montana.

 

If the state of Montana participates in the suit and prosecutes the matter, the whistleblower may be awarded between 15 and 25 percent of their monetary recuperation. If the state refuses to take part in the claim, the whistleblower may be awarded between 25 and 30 percent of the recovery in addition to repayment of any costs associated with filling the case.

 

The Montana False Claims Act also protects a whistleblower against any company retaliation as a result of submitting the suit.

Liability of the Defendant in Bozeman, Montana

In Montana, the accused can be ordered to pay up to 3 times the financial harm caused to the state in addition to charges of between $5,500 and $11,000 per violation.

Statute of Limitations in Bozeman, Montana

A whistleblower must submit a lawsuit within 10 years of the violation date in order to be considered for a qui tam claim.

Working With an Experienced Whistleblower Attorney

If you have become aware of deceitful activity against the Montana Medicaid program, getting the legal guidance of a skilled whistleblower lawyer is critical. At Khurana Law Firm, P.C., we have more than 20 years of experience in complicated lawsuits, qui tam, and whistleblower law throughout the United States. Contact us for a confidential, no-cost consultation to discuss your case and understand your rights and options.

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 Bozeman, Montana, 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 Bozeman, Montana,  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 Bozeman, Montana

If you’ve become aware of fraud that may involve Medicaid or Medicare in Bozeman, Montana, you require the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is completely examined and submitted accurately and without delay. By working with a skilled attorney you are increasing the chance that the government will step in, thus increasing the chance for a financial 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 have years of prior experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the scams and enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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