Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in West Fargo, North Dakota

Medicare and Medicaid fraud cost North Dakota taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are honest and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to submit lawsuits on behalf of the government to report this sort of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in West Fargo, North Dakota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is difficult and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in West Fargo, North Dakota

In North Dakota, while there are laws precluding fraudulent activity against the state’s Medicaid program, there are no state laws affording a whistleblower the capability to file a qui tam lawsuit or get rewarded for their efforts.

 

Nevertheless, a private individual with information regarding fraudulent Medicaid activity might still file a civil lawsuit against the transgressing entity on behalf of the federal government under the federal False Claims Act.

 

Under the federal False Claims Act, a private individual may submit a qui tam suit against the perpetrator of Medicaid scams to recover those losses to the federal government. The whistleblower may be rewarded for these efforts in successful claims. If the federal government selects to participate in the case, the whistleblower may be granted in between 15 and 25 percent of the recuperation. If the government opts out of taking part in the suit, the whistleblower might be awarded in between 25 and 30 percent of the financial recovery for a successful claim.

 

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

Liability of the Defendant in West Fargo, North Dakota

Under the federal False Claims Act, an offender may be ordered to pay damages of up to three times the harm to the federal government in addition to substantial fines for each infraction.

Statute of Limitations in West Fargo, North Dakota

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

Working With an Experienced Whistleblower Lawyer

State and federal governments may often rely on private individuals to step forward with knowledge of health care fraud. For these brave efforts, they are entitled to substantial benefits. If you have become aware of deceptive activity against the state Medicaid program in West Fargo, North Dakota, you need to seek the advice of a skilled whistleblower lawyer so as to understand how a qui tam claim works and your rights under the laws. At Khurana Law Firm, we provide a confidential, no-cost consultation so as 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 West 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 West 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. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in West Fargo, North Dakota

If you’ve become aware of deceptive activity as it concerns Medicaid or Medicare in West Fargo, North Dakota, you require the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally examined and submitted accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the federal or state 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 bring years of prior experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare fraud. We will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

Service areas