Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Springfield, Oregon

Medicaid and Medicare fraud cost Oregon taxpayers billions of dollars annually. While the majority of medical service providers and drug companies are honest and work within the system, some don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to submit suits on behalf of the government to report this type of fraud.

The federal and state governments put a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it depends on private citizens in Oregon to come forward to report fraud. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the market. understand that stepping forward is not easy and numerous things might 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, diligently prepare your case, for court, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Springfield, Oregon

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

 

The federal False Claims Act entitles an individual to file a civil suit on behalf of the federal government to recover their portion of the damages from deceitful activity. The act entitles the whistleblower to gather a reward and offers employer retaliation protection to the whistleblower.

 

If the government chooses to intervene in the case, a whistleblower may be able to get between 15 and 25 percent of the funds recovered by the federal government. If the government chooses not to join the case, the whistleblower may be able to collect in between 25 and 30 percent of the recovery.

Liability of the Defendant in Springfield, Oregon

Under the federal False Claims Act, an offender in a qui tam suit can be ordered to pay damages in the amount of up to triple the monetary harm to the government in addition to substantial fines for each infraction.

Statute of Limitations in Oregon

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

Working With an Experienced Whistleblower Attorney

Federal and state governments depend on private individuals to come forward with information concerning healthcare fraud. For their brave efforts, a whistleblower might be entitled to substantial awards. If you know of fraudulent Medicaid activity in Springfield, Oregon, you might have the ability to submit a whistleblower suit and collect a a financial award under the federal False Claims Act. At Khurana Law Firm, our skilled whistleblower lawyers can help. We provide a no-cost consultation to discuss your case and your rights under the law. Contact us to set up 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 Springfield, 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 Springfield, 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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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Springfield, Oregon

If you’ve become aware of deceptive activity that may involve Medicare or Medicaid in Springfield, Oregon, you may need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By working with an experienced lawyer you are increasing the chance that the government will intervene, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam claim to help report the scams and allow you to collect 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 to schedule a confidential consultation.

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