Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Kearney, Nebraska

Medicaid and Medicare fraud cost Nebraska taxpayers billions of dollars annually. While many medical companies and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower lawyers help healthcare workers to submit claims on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Kearney, Nebraska

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, 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 .

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

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Whistleblower Laws in Kearney, Nebraska

State and federal governments rely heavily on private individuals coming forward to report deceitful activity within the health care industry as it pertains to Medicaid. Some states offer whistleblowers to report false claims and file qui tam claims in order 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 healthcare program liable. But, this statute does not have a whistleblower arrangement.

 

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

Liability of the Defendant in Kearney, Nebraska

Under the federal False Claims Act, the accused might be bought to pay damages of as much as 3 times the amount of damage caused to the government along with substantial fines for each infraction.

Statute of Limitations in Kearney, Nebraska

A whistleblower should file a complaint within 10 years of the infraction under the federal False Claims Act.

Working With an Experienced Whistleblower Attorney

Health care fraud is rampant and costs taxpayers billions of dollars each year. Due to restricted resources, state and federal governments must often count on private citizens to come forward with knowledge of this scams. Because of this, whistleblowers are handsomely rewarded for their time and efforts.

 

If you have knowledge of deceitful Medicaid activity in Kearney, Nebraska, you may be able to file a qui tam lawsuit against the offending party on behalf of the federal government. Contact our experienced whistleblower lawyers at Khurana Law Firm for a completely confidential consultation so as 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 Kearney, 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 Kearney, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Kearney, Nebraska

When you become aware of fraud as it concerns Medicare or Medicaid in Kearney, Nebraska, you require the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and submitted accurately and immediately. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the opportunity for a financial reward. Reporting Medicare and Medicaid 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 practical experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare fraud. We will evaluate 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 lawsuit to help report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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