Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Leander, Texas

Medicare and Medicaid fraud cost Texas taxpayers billions of dollars annually. While most medical service providers and drug companies are ethical and work within the legal channels, some don’t. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower lawyers help healthcare workers to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts on private citizens in Texas to come forward and to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Leander, 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. understand that coming forward is difficult and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive 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 deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Leander, Texas

Individuals who have knowledge of deceptive activity against the state of Texas might have whistleblower rights under 2 state laws.

 

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

 

A whistleblower may 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 an effective action might be rewarded an amount in between 15 and 25 percent of the recovery when the state elects to participate in the suit. If the private citizen pursues the lawsuit independent of the state, they may be granted in between 25 and 30 percent of the funds recovered.

 

A different provision likewise exists that provides for an award to an individual who reports fraudulent activity in the Texas Medicaid program without bringing a qui tam claim. If the report results in recovery of funds, the award is restricted to five percent of the administrative charge enforced on the entity perpetrating the scams.

 

The Texas Whistleblower Act protects public staff members from retaliation from any agency that employs them if they report wrongdoing. This law does not provide protection for workers who work for personal companies.

Liability of the Defendant in Leander, Texas

The offender in an effective qui tam suit under the Texas Medicaid Fraud Prevention Act may be accountable for penalties of in between $5,500 and $11,000 per violation. If the illegal conduct caused harm to the elderly, handicapped, or a minor, the accused might be accountable for charges of in between $5,500 and $15,000.

 

Statute of Limitations in Leander, Texas

The whistleblower must file their complaint within six years of the date of the violation.

Working With an Experienced Whistleblower Attorney

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

 

If you have evidence of Medicaid fraud in Leander, Texas, you may have the right to pursue a qui tam claim and collect a financial reward. At the Khurana Law Firm, we represent whistleblowers who assist states in holding wrongdoers responsible. Contact us today to set up a confidential consultation 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 Leander, 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 Leander, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Leander, Texas

If you’ve become aware of fraud that may involve Medicaid or Medicare in Leander, Texas, you need the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is completely investigated and submitted accurately and promptly. By working with a skilled attorney you are increasing the chance that the government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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