Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in East Providence, Rhode Island

Medicaid and Medicare fraud cost Rhode Island taxpayers billions of dollars every year. While most medical companies and drug companies are honest and work within the system, some don’t. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to submit claims on behalf of the federal or state government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in East Providence, Rhode Island

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and numerous things may 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, diligently and 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 East Providence, Rhode Island

If you have learned of deceitful activity connected with the Rhode Island Medicaid program, the Rhode Island False Claims Act allows whistleblowers to submit a qui tam lawsuit on behalf of the state. The Rhode Island False Claims Act makes it unlawful for anybody who purposefully submits deceptive claims, misuses state property or avoids responsibilities to the state, as well as other offenses.

 

Under the Rhode Island False Claims Act, a person who submits an effective qui tam suit might be entitled to receive an award of in between 15 and 25 percent of the recovery by the state if the state joins the lawsuit. If the whistleblower proceeds in the suit independent of the state, she or he might be entitled to between 25 and 30 percent of a successful recovery.

 

A whistleblower is likewise safeguarded against any company retaliation for bringing forth a qui tam suit or assisting the state in a recovery.

Liability of the Defendant in East Providence, Rhode Island

If the accused is found responsible, she or he may be ordered to pay up to 3 times the damage to the state as well as penalties of in between $5,500 and $11,000 per violation. The offender will also be responsible for the expenses of any civil action to recuperate these damages.

Statute of Limitations in East Providence, Rhode Island

In the state of Rhode Island, a plaintiff must submit a whistleblower claim within 10 years of the offense.

Working With an Experienced Whistleblower Attorney

If you are aware of Medicaid fraud in East Providence, Rhode Island, you might be entitled to submit a whistleblower claim under the Rhode Island False Claims Act. Getting the assistance of a knowledgeable whistleblower lawyer can help you understand your rights and protections under the Rhode Island False Claims Act. Contact Khurana Law Firm for a confidential, no-cost assessment 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 East Providence, Rhode Island, 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 East Providence, Rhode Island,  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 ATTORNEY; We are proud to represent healthcare workers in East Providence, Rhode Island

When you become aware of fraud that may involve Medicare or Medicaid in East Providence, Rhode Island, you may need the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to help in your fight against Medicare and Medicaid fraud. We will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can help.

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