Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Washington

Medicare and Medicaid fraud cost Washington taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the system, some don’t. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to submit suits on behalf of the government to help report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Washington

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. understand that coming 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 comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, and work tirelessly with you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Washington

The state of Washington has enacted the Washington State Medicaid Fraud False Claims Act. This act allows private whistleblowers who are aware of fraud against the state’s Medicaid program to come forward to file a qui tam lawsuit on behalf of the state to hold parties accountable for their fraudulent activity. The law holds parties liable that knowingly present false or fraudulent claims, misappropriate state property, or avoid an obligation to pay the state Medicaid program. 

Under the Washington State Medicaid Fraud False Claims Act, individuals who file a qui tam lawsuit are protected from employer retaliation. They may also be rewarded between 15 and 25 percent of the financial recovery if the state joins the suit. If a whistleblower pursues the claim independently without the assistance of the state, they may be entitled to a reward of between 25 and 30 percent of the recovery.

If you are an Oregon healthcare worker, get in touch with Oregon Medicare Whistleblower attorney.

Liability of the Defendant in Washington

Under the Washington State Medicaid Fraud False Claims Act, a party or entity that has committed fraud against the state Medicaid program can be ordered to pay the state up to three times the amount of financial harm that was caused to the state. The defendant can also be ordered to pay fines of $10,957 to $21,916 per violation.

Statute of Limitations in Washington

In the state of Washington, there is no statute of limitations for filing a qui tam complaint.

Working With an Experienced Whistleblower Attorney

States lose millions of dollars every year in Medicaid fraud. Unfortunately, many states lack the resources to police fraud, so they rely on whistleblowers like you to report it. 


Getting the skilled guidance of an experienced whistleblower attorney allows you to understand your rights and protections under the Washington State Medicaid Fraud False Claims Act. At Khurana Law Firm, we can help. Contact us for a 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 can report it 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. To report Medicare fraud, 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

If you’ve become aware of potential fraud involving Medicare or Medicaid, you require the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and without delay. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t try 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 battle against Medicare and Medicaid fraud. We will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to gather a reward. All whistleblower work is on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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