Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Tigard, Oregon

Medicaid and Medicare fraud cost Oregon taxpayers billions of dollars every year. Although many medical service providers and drug companies are ethical and work within the system, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit suits on behalf of the government to help report these kinds of scams.

The state and federal government place a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on regular folks in Oregon to come forward to report fraud. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, 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 held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, and work relentlessly with 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 Tigard, Oregon

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

 

The federal False Claims Act entitles an individual to file a civil lawsuit on behalf of the federal government to recover their portion of the damages from fraudulent activity. The act entitles the whistleblower to collect a financial reward and provides company retaliation protection to the whistleblower.

 

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

Liability of the Defendant in Tigard, Oregon

Under the federal False Claims Act, a defendant in a qui tam lawsuit can be ordered to pay damages in the amount of up to triple the monetary 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 infraction.

Working With an Experienced Whistleblower Attorney

Federal and state governments count on private individuals to come forward with info relating to health care fraud. For their heroic efforts, a whistleblower may be entitled to substantial awards. If you know of deceitful Medicaid activity in Tigard, Oregon, you might have the ability to file a whistleblower claim and collect a reward under the federal False Claims Act. At Khurana Law Firm, our knowledgeable 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 Tigard, 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 Tigard, 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 Tigard, Oregon

When you become aware of fraud as it concerns Medicare or Medicaid in Tigard, Oregon, you require the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and promptly. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare 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 lawyers to help in your battle against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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