Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Syracuse, New York

Medicare and Medicaid fraud cost NY State taxpayers billions of dollars every year. While many medical service providers and drug companies are honest and work within the system, some do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to report these kinds of scams.

The state and federal governments place a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it counts on every day people in New York to come forward to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Syracuse, New York.

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is difficult and numerous things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work relentlessly with you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Syracuse, New York Whistleblower Laws

In New York, persons who have knowledge of Medicaid fraud can file a whistleblower or qui tam or lawsuit under NY False Claims Act. This law makes parties who file fraudulent claims to state or local governments liable for their fraudulent activity.

The law also affords whistleblowers job protection and the ability to collect rewards based on the amount of recovery.

Liability of the Defendant in New York

Under the NY State False Claims Act, the defendant may be required to pay fines in the amount of up to 3 times the harm caused to the government under the Act and as any consequential damages. In addition, there may also be the added requirement of the defendant to pay additional fines from $6,000 to $12,000 for each individual violation.

New York: Whistleblower Rewards

Any party who becomes a whistleblower and who files a claim against the defendant has the ability to receive between 15% to 25% of the government’s recovery if the government enters into the claim. If a whistleblower claim proceeds without the government entering into the claim, the whistleblower may be able to receive from 25 to 30 percent of the recovery as their reward for coming forward.

 

On the other hand, if the whistleblower may have had an active involvement in initiating or planning the fraud, or in those cases where the information has been derived not from personal knowledge but from the media or public hearings, however, the reward may be significantly reduced

New York State: Whistleblower Statue of Limitations

In New York State, a whistleblower complaint must be filed within ten years after the date of the violation.

Speaking with a Whistleblower Attorney

Have you become aware of Medicare or Medicaid fraud? You might be able to file a qui tam lawsuit in order to hold responsible parties accountable. Schedule a free consultation with an experienced NY whistleblower attorney to understand your rights to a potential whistleblower reward. Are you a healthcare worker in Syracuse, New York who has information about healthcare fraud? Contact Khurana Law Firm, P.C. for a completely confidential, free consultation.

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 Syracuse, New York, 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 Syracuse, New York to report Medicare fraud, 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 Syracuse, New York

When you become aware of potential fraud that may involve Medicaid or Medicare in Syracuse, New York, you need the advice of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the government will step in, hence increasing the opportunity 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 practical experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid scams. We will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam suit to help report the scams and enable you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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