Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Hobbs, New Mexico

Medicare and Medicaid fraud cost New Mexico taxpayers billions of dollars every year. While the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower lawyers can assist healthcare professionals to file lawsuits on behalf of the government to report this type of fraud.

The federal and state government put a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it relies on private citizens in New Mexico to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Hobbs, New Mexico

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 scams in the market. understand that coming forward is difficult and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly 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 deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Hobbs, New Mexico

In the state of New Mexico, there are laws that hold those parties who commit fraud against the state responsible for their activities. Under the New Mexico Medicaid False Claims Act and the New Mexico Fraud Against Taxpayers Act, a whistleblower who has knowledge of fraudulent activity against the state has the capacity to submit a qui tam lawsuit against the transgressor on behalf of the state.

 

The New Mexico Fraud Against Taxpayers Act holds parties responsible who take part in a variety of fraudulent activity against the state, such as fraudulently presenting false claims for payment to the state, misappropriating property of the state or political subdivision, avoiding paying the state or political subdivision, along with other fraudulent actions.

 

The New Mexico Medicaid False Claims Act holds parties responsible who knowingly send false claims to New Mexico’s Medicaid program.

 

Whistleblowers who file an effective qui tam lawsuit are entitled to get in between 15 and 25 percent of the funds recovered if the state ends up being party to the case. If not, the individual can continue independently and be granted between 25 and 30 percent of the funds recovered.

 

A whistleblower is likewise afforded protection from employer retaliation as a result of filing the case or helping in the state’s recovery.

Liability of the Defendant in Hobbs, New Mexico

A defendant in a qui tam claim in New Mexico may be ordered to pay up to 3 times the damage to the state under the New Mexico Medicaid False Claims Act. Under the New Mexico Fraud Against Taxpayers Act, the defendant might be required to pay up to 3 times the damage to the state in addition to penalties of between $5,000 and $10,000 per offense.

Working With an Experienced Whistleblower Attorney

If you know of fraudulent activity in Hobbs, New Mexico, you might be able to file a whistleblower civil lawsuit on behalf of the state and be rewarded for your heroic efforts. At Khurana Law Firm, P.C., our knowledgeable whistleblower lawyers can help you understand your rights and alternatives under the law. Contact us for a completely confidential, no-cost consultation so as to discuss your case.

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 Hobbs, New Mexico, 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 Hobbs, New Mexico,  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 Hobbs, New Mexico

When you become aware of fraud that may concern Medicaid or Medicare in Hobbs, New Mexico, you require the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is fully investigated and submitted accurately and immediately. By dealing with an experienced lawyer you are increasing the chance that the government will intervene, hence increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we may represent you in a qui tam suit to help report the scams and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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