Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Montana taxpayers billions of dollars each year. Although most medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to submit suits on behalf of the government to report these kinds of scams.

The state and federal government place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on every day people in Montana to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Missoula, Montana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the market. understand that stepping forward is hard and lots of 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 investigate your claim, diligently prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Missoula, Montana

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

 

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

 

If the state of Montana joins the claim and prosecutes the matter, the whistleblower may be granted between 15 and 25 percent of their financial recovery. If the state refuses to take part in the lawsuit, the whistleblower may be granted between 25 and 30 percent of the recovery in addition to compensation of any costs associated with filling the case.

 

The Montana False Claims Act also safeguards a whistleblower against any employer retaliation as an outcome of submitting the suit.

Liability of the Defendant in Missoula, 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 offense.

Statute of Limitations in Missoula, Montana

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

Working With an Experienced Whistleblower Lawyer

If you have become aware of deceitful activity against the Montana Medicaid program, getting the legal suggestions of an experienced whistleblower lawyer is important. At Khurana Law Firm, P.C., we have more than 20 years of experience in complicated litigation, qui tam, and whistleblower law throughout the United States. Contact us for a completely confidential, no-cost assessment 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 Missoula, 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 Missoula, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Missoula, Montana

When you become aware of deceitful activity as it concerns Medicare or Medicaid in Missoula, Montana, you need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  do not try 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 attorneys to help in your battle against Medicaid and Medicare fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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