Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Millcreek township, Pennsylvania

Medicare and Medicaid fraud cost Pennsylvania taxpayers billions of dollars annually. Although most medical providers and drug companies are ethical and work within the system, there are those who don’t. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to file claims on behalf of the government to report this type of fraud.

The federal and state government put a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on private citizens in Pennsylvania to come forward to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Millcreek township, Pennsylvania

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Millcreek township, Pennsylvania

While taxpayers help fund Medicaid to permit low-income healthcare for those who need it, there are dishonest people and companies who defraud the state of Pennsylvania’s Medicaid program through deceitful activity. These activities have cost the state government millions of dollars. State resources committed to the discovery of fraud are restricted and, as a result, the state needs to count on healthcare service providers and others 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 lawsuit to hold these parties responsible. Under the Act, a person who brings a whistleblower claim is entitled to a reward in between 15 percent and 25 percent of any financial recovery, based on their knowledge and contributions. If the government chooses not to intervene in the action, the whistleblower might get between 25 and 30 percent of the recovery.

 

Whistleblower laws use included employee security to avoid an employer from retaliating, discharging, threatening, or victimizing a whistleblower.

Liability of the Defendant in Millcreek township, Pennsylvania

Offenses under the federal False Claims Act might lead to fines and penalties in the quantity of three times the damage to the government along with extra charges of up to $5,500 to $11,000 for each infraction.

Statute of Limitations in Millcreek township, Pennsylvania

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

Dealing with an Experienced Whistleblower Attorney

If you know of deceptive activity concerning the Medicaid program in Millcreek township, Pennsylvania, getting assistance from a knowledgeable whistleblower attorney is essential. At Khurana Law Firm, P.C., we can help you identify if you have a valid whistleblower claim and help you understand your rights and choices. 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 Millcreek 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 Millcreek township, Pennsylvania,  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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Report Medical fraud
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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Millcreek township, Pennsylvania

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Millcreek township, Pennsylvania, you may need the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is totally examined and submitted accurately and quickly. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing the chance for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. We will review your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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