Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Bismarck, North Dakota

Medicaid and Medicare fraud cost North Dakota taxpayers billions of dollars every year. Although the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government relies on regular folks in North Dakota to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Bismarck, North Dakota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the industry. understand that coming forward is hard and lots of things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Bismarck, North Dakota

In North Dakota, while there are laws prohibiting deceitful activity against the state’s Medicaid program, there are no state laws providing a whistleblower the ability to file a qui tam lawsuit or get rewarded for their efforts.

 

However, a private citizen with details regarding deceitful Medicaid activity might still submit a civil claim against the offending party on behalf of the federal government under the federal False Claims Act.

 

Under the federal False Claims Act, a private individual might file a qui tam claim against the perpetrator of Medicaid fraud to recuperate those losses to the federal government. The whistleblower might be awarded for these efforts in successful claims. If the federal government chooses to get in into the suit, the whistleblower might be granted in between 15 and 25 percent of the recuperation. If the federal government opts out of taking part in the suit, the whistleblower might be granted between 25 and 30 percent of the recovery for an effective claim.

 

The False Claims Act also safeguards whistleblowers against any company retaliation as a result of filing a suit or helping the government.

Liability of the Defendant in Bismarck, North Dakota

Under the federal False Claims Act, an offender may be required to pay damages of approximately 3 times the damage to the government in addition to considerable fines for each violation.

Statute of Limitations in Bismarck, North Dakota

Under the federal False Claims Act, the whistleblower needs to submit their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

State and federal governments may often depend on private citizens to step forward with knowledge of health care scams. For these brave efforts, they are entitled to significant rewards. If you learned of deceitful activity against the state Medicaid program in Bismarck, North Dakota, you need to seek the advice of a skilled whistleblower attorney in order to understand how a qui tam claim works and your rights under the laws. At Khurana Law Firm, we offer a completely confidential, no-cost consultation in order to discuss your case and your rights under the federal False Claims Act. Contact us today to schedule an appointment.

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 Bismarck, North Dakota, 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 Bismarck, North Dakota,  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 Bismarck, North Dakota

If you’ve become aware of deceptive activity that may concern Medicaid or Medicare in Bismarck, North Dakota, you may need the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and promptly. By working with a skilled lawyer you are increasing the chance that the government will step in, thus increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam lawyers 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 may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can be of help.

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