Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Corvallis, Oregon

Medicare and Medicaid fraud cost Oregon taxpayers billions of dollars annually. Although many medical providers and drug companies are honest and work within the system, there are those who do not. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys can help people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to report this type of fraud.

The state and federal governments place a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it depends on regular folks in Oregon to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Corvallis, Oregon

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. We know that stepping forward is hard and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work relentlessly 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 Corvallis, Oregon

State and federal governments lose billions of dollars every year in healthcare fraud. In Oregon, although the state does not have a false claims act of its own, a private citizen who knows of deceptive activity against the Medicaid program may have the ability to file a qui tam claim under the federal False Claims Act.

 

The federal False Claims Act entitles an individual to file a civil suit on behalf of the government to recuperate their part of the damages from deceptive activity. The act entitles the whistleblower to collect a financial reward and offers employer retaliation protection to the whistleblower.

 

If the government chooses to intervene in the lawsuit, a whistleblower might be able to collect between 15 and 25 percent of the recovery by the federal government. If the government selects not to take part in the suit, the whistleblower may be able to gather between 25 and 30 percent of the funds recovered.

Liability of the Defendant in Corvallis, Oregon

Under the federal False Claims Act, a defendant in a qui tam claim can be mandated to pay damages in the amount of up to triple the financial harm to the government in addition to considerable fines for each violation.

Statute of Limitations in Oregon

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

Working With an Experienced Whistleblower Lawyer

State and federal governments depend on private citizens to come forward with info concerning health care scams. For their heroic efforts, a whistleblower may be entitled to significant awards. If you know of fraudulent Medicaid activity in Corvallis, Oregon, you may be able to file a whistleblower suit and collect a reward under the federal False Claims Act. At Khurana Law Firm, our experienced whistleblower lawyers may be able to help. We provide a no-cost consultation to discuss your case and your rights under the law. Contact us 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 Corvallis, Oregon, 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 Corvallis, Oregon,  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 LAWYER; We are proud to represent healthcare workers in Corvallis, Oregon

When you become aware of deceptive activity that may concern Medicare or Medicaid in Corvallis, Oregon, you may need the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and submitted accurately and without delay. By working with a skilled lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t 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 lawyers to assist in your battle against Medicare and Medicaid scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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