Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Bellevue, Nebraska

Medicare and Medicaid fraud cost Nebraska taxpayers billions of dollars each year. While the majority of medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to file lawsuits on behalf of the federal or state government to report these kinds of scams.

The federal and state governments put a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it relies on regular folks in Nebraska to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Bellevue, Nebraska

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. understand that coming forward is difficult and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Bellevue, Nebraska

State and federal governments rely on private citizens stepping forward to report deceptive activity within the health care industry as it relates to Medicaid. Some states offer whistleblowers to report false claims and file qui tam suits to hold individuals and entities who defraud the government liable.

 

Nebraska has enacted the Nebraska Medicaid False Claims Act, which holds those who defraud the state’s medical health care program responsible. However, this statute does not have a whistleblower provision.

 

However, a private citizen who knows of Medicaid fraud might file a whistleblower claim under the federal False Claims Act. This entitles the individual to submit a civil lawsuit on behalf of the federal government in order to recover damages from fraudulent activity. Whistleblowers under the federal False Claims Act may gather a financial reward of between 15 and 30 percent of the recovery, depending upon if the government intervenes in the claim. A whistleblower is likewise secured against any company retaliation as an outcome of submitting the claim.

Liability of the Defendant in Bellevue, Nebraska

Under the federal False Claims Act, the offender may be purchased to pay damages of as much as three times the amount of harm caused to the government as well as considerable fines for each violation.

Statute of Limitations in Bellevue, Nebraska

A whistleblower needs to file a complaint within 10 years of the violation under the federal False Claims Act.

Working With an Experienced Whistleblower Attorney

Healthcare fraud is rampant and may cost taxpayers billions of dollars each year. Due to restricted resources, state and federal governments often count on private individuals to come forward with knowledge of this fraud. Due to this, whistleblowers are handsomely rewarded for their time and efforts.

 

If you know of fraudulent Medicaid activity in Bellevue, Nebraska, you might be able to file a qui tam claim versus the offending party on behalf of the federal government. Contact our knowledgeable whistleblower lawyers at Khurana Law Firm for a completely confidential consultation to discuss your rights under the federal False Claims Act.

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 Bellevue, Nebraska, 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 Bellevue, Nebraska,  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 Bellevue, Nebraska

If you’ve become aware of potential fraud involving Medicare or Medicaid in Bellevue, Nebraska, you may need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and promptly. By working with a skilled lawyer you are increasing the chance that the federal or state government will step in, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t try 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 lawyers to help in your fight against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam claim to help report the fraud and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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