Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Lincoln, Nebraska

Medicare and Medicaid fraud cost Nebraska taxpayers billions of dollars annually. Although many medical service providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit suits on behalf of the government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Lincoln, 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 fraud in the market. We know that coming forward is difficult 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, diligently and 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 Lincoln, Nebraska

State and federal governments rely heavily on private individuals stepping forward to report deceitful activity within the healthcare industry as it relates to Medicaid. Some states provide for whistleblowers to report false claims and file qui tam lawsuits in order to hold people and business entities who defraud the government accountable.

 

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

 

Nevertheless, a private citizen with knowledge of Medicaid scams might submit a whistleblower claim under the federal False Claims Act. This entitles the individual to file a civil lawsuit on behalf of the federal government in order to recuperate damages from fraudulent activity. Whistleblowers under the federal False Claims Act might gather a reward of in between 15 and 30 percent of the recovery, depending upon if the government intervenes in the claim. A whistleblower is also secured against any employer retribution as an outcome of submitting the lawsuit.

Liability of the Defendant in Lincoln, Nebraska

Under the federal False Claims Act, the offender might be purchased to pay damages of as much as 3 times the amount of damage caused to the government in addition to significant fines for each infraction.

Statute of Limitations in Lincoln, Nebraska

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

Working With an Experienced Whistleblower Lawyer

Healthcare fraud is rampant and costs taxpayers billions of dollars yearly. Due to restricted resources, state and federal governments must frequently rely on private citizens to come forward with knowledge of this scams. Because of this, whistleblowers are handsomely rewarded for their effort and time.

 

If you know of fraudulent Medicaid activity in Lincoln, Nebraska, you might be able to file a qui tam suit against the offending entity on behalf of the federal government. Contact our knowledgeable whistleblower attorneys at Khurana Law Firm for a confidential assessment 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 Lincoln, 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 Lincoln, 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 LAWYER; We are proud to represent healthcare workers in Lincoln, Nebraska

When you become aware of deceptive activity that may concern Medicare or Medicaid in Lincoln, Nebraska, you need the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and filed accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not 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 attorneys to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review 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 allow you to collect a financial benefit. 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 be of help.

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