Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Fargo, North Dakota

Medicare and Medicaid fraud cost North Dakota taxpayers billions of dollars annually. Although many medical service providers and drug companies are ethical and work within the legal channels, some don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower lawyers help healthcare professionals to file suits on behalf of the federal or state government to report these kinds of scams.

The state and federal governments put a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government counts on regular folks in North Dakota to come forward and to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Fargo, North Dakota

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. understand that coming forward is challenging 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 substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Fargo, North Dakota

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

 

However, a private citizen with details concerning deceitful Medicaid activity may still file a civil claim against the transgressing 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 recover those losses to the federal government. The whistleblower may be awarded for these efforts in effective claims. If the federal government selects to participate in the case, the whistleblower might be granted in between 15 and 25 percent of the recovery. If the government opts out of participating in the lawsuit, the whistleblower may be awarded between 25 and 30 percent of the recovery for a successful claim.

 

The False Claims Act also protects whistleblowers against any employer retaliation as a result of filing a lawsuit or helping the federal government.

Liability of the Defendant in Fargo, North Dakota

Under the federal False Claims Act, an accused might be required to pay damages of as much as 3 times the damage to the federal government in addition to considerable fines for each infraction.

Statute of Limitations in Fargo, North Dakota

Under the federal False Claims Act, the whistleblower should file their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

State and federal governments must often depend on private citizens to step forward with knowledge of healthcare scams. For these brave efforts, they are entitled to considerable benefits. If you learned of deceitful activity against the state Medicaid program in Fargo, North Dakota, you ought to seek the guidance of a skilled whistleblower attorney to comprehend how a qui tam claim works and your rights under the laws. At Khurana Law Firm, we provide a confidential, no-cost consultation to discuss your case and your rights under the federal False Claims Act. Contact us today to arrange 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 Fargo, 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 Fargo, 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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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Fargo, North Dakota

When you become aware of deceptive activity that may involve Medicaid or Medicare in Fargo, North Dakota, you need the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally examined and submitted accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam suit to help report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely 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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