Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Bristol township, Pennsylvania

Medicare and Medicaid fraud cost Pennsylvania taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to submit suits on behalf of the federal or state government to report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Bristol township, Pennsylvania

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the market. We know that stepping forward is difficult and many 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 completely examine your claim, diligently and carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Bristol township, Pennsylvania

While taxpayers help fund Medicaid in order to enable low-income health care for those who need it, there are deceitful individuals and companies who defraud the state of Pennsylvania’s Medicaid program through deceitful activity. These activities have cost the government millions of dollars. State resources committed to the discovery of scams are restricted and, subsequently, the state should count on healthcare providers and private citizens to report any knowledge of scams.

 

Under the federal False Claims Act, people who are aware of deceptive activity versus the government have the capability to submit a whistleblower claim to hold these parties responsible. Under the Act, a person who brings a whistleblower claim is entitled to a reward between 15 percent and 25 percent of any recovery, based on their understanding and contributions. If the government selects not to intervene in the action, the whistleblower may get between 25 and 30 percent of the financial recovery.

 

Whistleblower laws offer included worker security to avoid a company from striking back, discharging, threatening, or discriminating against a whistleblower.

Liability of the Defendant in Bristol township, Pennsylvania

Violations under the federal False Claims Act may lead to fines and charges in the amount of 3 times the damage to the government in addition to extra charges of up to $5,500 to $11,000 for each violation.

Statute of Limitations in Bristol township, Pennsylvania

Under the federal False Claims Act, a whistleblower claim should be started within 3 years of the date of discovering the deceptive activity and within 6 years after the activity occurred, whichever occurred later on, however not more than 10 years after the activity happened.

Working With an Experienced Whistleblower Attorney

If you suspect fraudulent activity in regards to the Medicaid program in Bristol township, Pennsylvania, getting assistance from an experienced whistleblower lawyer is vital. At Khurana Law Firm, P.C., we can help you determine if you have a legitimate whistleblower claim and help you understand your rights and options. Contact us for a totally confidential, no-cost consultation 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 Bristol township, Pennsylvania, 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 Bristol township, Pennsylvania,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Bristol township, Pennsylvania

If you’ve become aware of potential fraud involving Medicaid or Medicare in Bristol township, Pennsylvania, you may need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is completely examined and submitted accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, hence increasing the opportunity for a financial reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t try 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 legal representatives to help in your battle against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam suit to help 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. Contact us today to learn how we can be of help.

Service areas