Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Killeen, Texas

Medicare and Medicaid fraud cost Texas taxpayers billions of dollars every year. While many medical companies and drug companies are honest and work within the system, some don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers can assist people who work in the healthcare system to file suits on behalf of the federal or state government to help report this sort of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Killeen, Texas

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is hard and numerous things may 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 investigate your claim, carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Killeen, Texas

Private citizens who become aware of deceitful activity against the state of Texas might have whistleblower rights under 2 state laws.

 

The Texas Medicaid Fraud Prevention Act holds those parties accountable who have sent fraudulent claims and perpetuated crimes against the Texas Medicaid program.

 

A whistleblower might submit a qui tam lawsuit on behalf of the state when they have proof of Medicaid scams. Under the Texas Medicaid Fraud Act, the whistleblower in a successful action may be rewarded an amount in between 15 and 25 percent of the funds recovered when the state intervenes in the lawsuit. If the individual pursues the lawsuit independent of the state, they may be awarded between 25 and 30 percent of the recovery.

 

A different provision likewise exists that provides for an award to an individual who reports deceitful activity in the Texas Medicaid program without bringing a qui tam lawsuit. If the report leads to the recovery, the award is restricted to 5 percent of the administrative charge enforced on the party perpetrating the fraud.

 

The Texas Whistleblower Act safeguards public workers from retaliation from any company that utilizes them if they report wrongdoing. This law does not provide defense for workers who work for private companies.

Liability of the Defendant in Killeen, Texas

The accused in a successful qui tam lawsuit under the Texas Medicaid Fraud Prevention Act may be liable for charges of between $5,500 and $11,000 per infraction. If the unlawful conduct caused damage to the elderly, handicapped, or a minor, the offender may be accountable for charges of between $5,500 and $15,000.

 

Statute of Limitations in Killeen, Texas

The whistleblower has to file their complaint within 6 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

Medicaid scams cost federal and state governments and Texas taxpayers billions of dollars each year. To help root out this problem, the state and federal government counts on the support of whistleblowers and rewards them for their heroic efforts.

 

If you have evidence of Medicaid fraud in Killeen, Texas, you might be able to pursue a qui tam lawsuit and collect a monetary reward. At the Khurana Law Firm, we represent whistleblowers who assist states in holding perpetrators liable. Get in touch with us today to schedule an appointment in order to discuss your case and understand your rights and protections under Texas whistleblower laws.

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 Killeen, Texas, 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 Killeen, Texas,  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 Killeen, Texas

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Killeen, Texas, you need the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is totally investigated and submitted accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a reward. Reporting Medicare and Medicaid scams is a complex matter –  do not attempt 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 lawyers to assist in your fight against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and enable you to collect a financial benefit. 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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