Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Eugene, Oregon

Medicare and Medicaid fraud cost Oregon taxpayers billions of dollars each year. Although most medical service providers and drug companies are honest and work within the system, some don’t. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the government to report this sort of fraud.

The federal and state government place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government depends on every day people in Oregon to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Eugene, Oregon

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

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Eugene, Oregon

Federal and state governments may lose billions of dollars every year in health care scams. In Oregon, although the state does not have a false claims act of its own, a private individual who has knowledge of fraudulent activity against the Medicaid program may be able to submit a qui tam suit under the federal False Claims Act.

 

The federal False Claims Act entitles an individual to file a civil claim on behalf of the federal government to recover their part of the damages from fraudulent activity. The act entitles the whistleblower to collect a 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 federal government selects not to participate in the litigation, the whistleblower may be able to collect in between 25 and 30 percent of the funds recovered.

Liability of the Defendant in Eugene, Oregon

Under the federal False Claims Act, an accused in a qui tam claim can be required to pay damages in the amount of up to triple the financial damage to the government in addition to substantial fines for each violation.

Statute of Limitations in Oregon

Under the federal False Claims Act, a whistleblower must file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

Federal and state governments count on private citizens to come forward with information relating to health care scams. For their brave efforts, a whistleblower might be entitled to considerable awards. If you know of deceitful Medicaid activity in Eugene, Oregon, you might be able to submit a whistleblower lawsuit and collect a reward under the federal False Claims Act. At Khurana Law Firm, our knowledgeable 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 Eugene, 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 Eugene, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Eugene, Oregon

If you’ve become aware of fraud that may concern Medicaid or Medicare in Eugene, Oregon, you require the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is totally investigated and filed accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam lawsuit to help report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can help.

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