Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Wyoming

Medicare and Medicaid fraud cost Wyoming taxpayers billions of dollars annually. Although the majority of medical providers and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the government to help report this type of fraud.

The state and federal government put a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government depends on every day people in Wyoming to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Wyoming

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 scams in the industry. We know that stepping forward is challenging and lots of things might 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, diligently prepare your case, for court, and work relentlessly with you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Wyoming

The state of Wyoming does not have its own state law version of the False Claims Act. However, a private citizen with knowledge of healthcare fraud against the Medicaid program still may file a civil lawsuit under the federal False Claims Act. The Act allows individual whistleblowers to file lawsuits on behalf of the federal government and potentially earn a reward for their heroic efforts. 

 

The federal government may choose to enter the lawsuit or not. The federal False Claims Act permits rewards of between 15 and 25 percent of a successful recovery if they have entered the suit. If they decide not to enter the suit, a whistleblower may be rewarded between 25 and 30 percent of a successful recovery. The Federal FCA also offers the whistleblower protection against employer retaliation.

Liability of the Defendant in Wyoming

Under the federal False Claims Act, a defendant in the state of Wyoming may be held liable for up to triple the amount of financial harm to the government in a successful qui tam lawsuit. The defendant will also be liable for significant financial penalties for each violation of the law.

Statute of Limitations in Wyoming

Under the federal False Claims Act, a whistleblower has ten years from the date of the violation to file a complaint.

Working With an Experienced Whistleblower Attorney

In the state of Wyoming, a private individual who has evidence of fraud against the state Medicaid program is entitled to file a whistleblower civil suit on behalf of the federal government and collect a reward for their efforts. 


If you are a healthcare worker with evidence of Medicaid fraud, our experienced whistleblower lawyers at Khurana Law Firm can help. We represent whistleblowers throughout the United States, and offer a confidential, no-cost consultation. Contact us to schedule an appointment so you can understand your rights and protections under the False Claims Act.

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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Work With An Experienced WHISTLEBLOWER ATTORNEY

When you become aware of deceitful activity that may involve Medicare or Medicaid, you require the advice of a skilled whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and without delay. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam legal representatives to assist in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam claim to report the scams and allow you to gather 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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