Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Euclid, Ohio

Medicaid and Medicare fraud cost Ohio taxpayers billions of dollars annually. While most medical companies and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit suits on behalf of the government to report this type of fraud.

The federal and state governments place a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, it relies on every day people in Ohio to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Euclid, Ohio

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the market. We know that stepping forward is hard and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Euclid, Ohio

The False Claims Act is a crucial statute that allows the government to fight scams and abuse in health care programs throughout the nation. In Ohio, the government has lost millions to deceptive Medicaid activity. Unfortunately, state and federal governments have limited resources when it pertains to dealing with fraud against government health care programs.

 

Subsequently, the government has become reliant on private people and healthcare staff members to come forward when they learn of fraudulent activity. Whistleblower laws permit a staff member or a private individual to come forward with a civil lawsuit on behalf of the government, against the individual or entity engaged in fraudulent activity.

 

The federal False Claims Act allows private citizens to come forward and be rewarded for their efforts. Under the federal act, any individual or staff member who brings a whistleblower claim on behalf of the government is entitled to a reward of in between 15 percent and 25 percent of the recovery in the suit. If the federal government elects not to get in the lawsuit, the whistleblower might receive a reward of between 25 and 30 percent of the financial recovery.

 

In addition to a benefit, whistleblower laws offer an added protection to whistleblowers in order to prevent retaliation, discharge, or discrimination by an employer.

Liability of the Defendant in Euclid, Ohio

In a qui tam lawsuit, the offender might be liable for as much as three times the damage to the state in addition to additional penalties of as much as $5,500 to $11,000 for each separate infraction.

Statute of Limitations in Euclid, Ohio

Under the federal False Claims Act, a whistleblower claim is restricted by a statute of limitations as follows:

 

A qui tam suit should be commenced within three years of the date of finding the deceitful activity, or within 6 years after the activity took place, whichever happened later on, however not more than ten years after the activity happened.

Working With an Experienced Whistleblower Attorney

If you know of deceitful activity relating to Ohio’s Medicaid program in Euclid, Ohio, you must understand your rights and what you may anticipate in a qui tam claim. In order to understand your rights, getting guidance from a knowledgeable whistleblower lawyer is important. At Khurana Law Firm, P.C., our skilled team of whistleblower lawyers will assist you in understanding how a qui tam lawsuit works along with your rights and alternatives. Contact us for a personal, no-cost assessment 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 Euclid, Ohio, 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 Euclid, Ohio,  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 ATTORNEY; We are proud to represent healthcare workers in Euclid, Ohio

When you become aware of deceitful activity that may concern Medicare or Medicaid in Euclid, Ohio, you need the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is fully examined and filed accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the opportunity for a financial 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 prior experience as national qui tam attorneys to help in your battle against Medicare and Medicaid fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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