Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Atlanta, Georgia

Medicare and Medicaid fraud cost Georgia taxpayers billions of dollars each year. While most medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to file claims on behalf of the federal or state government to report this type of fraud.

The state and federal government put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, it depends on every day people in Georgia to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Atlanta, Georgia

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 scams in the industry. understand that coming forward is hard and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Atlanta, Georgia

That state of Georgia makes it possible for people to come forward to report deceitful activity against the state’s Medicaid program under the Georgia False Medicaid Claims Act and allows them to bring suit against these entities on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers might also file a qui tam suit if they are aware of people, business, or other entities that purposefully submit incorrect or deceptive claims or intentionally and improperly avoid commitments to the state or regional government. This requires the written approval of the Georgia Attorney General.

 

Under both acts, a whistleblower may potentially recuperate in between 15 and 25 percent of the recovery in a reward when the Georgia Attorney General is party to the suit. If the state does not participate in the lawsuit, the whistleblower may be rewarded between 25 and 30 percent of the recovery. The court may reduce an award depending on the role that the whistleblower had in the scams or if the action was based upon info that was publicly revealed.

 

Under both the Georgia False Medicaid Claims Act and the Georgia Taxpayer Protection False Claims Act, the whistleblower is safeguarded from company retaliation.

Liability of the Defendant in Atlanta, Georgia

Under both acts, the defendant may be required to pay up to three times the quantity of harm to the state. The offender can likewise be required to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Georgia

Under both laws, a whistleblower needs to start their problem within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of Medicaid scams in Atlanta, Georgia,, you may be able to submit a qui tam suit holding that party liable. Contact Khurana Law Firm for a confidential, no-cost assessment to understand your rights and protections under Georgia whistleblower statutes.

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 Atlanta, Georgia, 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 Atlanta, Georgia,  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 LAWYER; We are proud to represent healthcare workers in Atlanta, Georgia

If you’ve become aware of fraud involving Medicaid or Medicare in Atlanta, Georgia, you require the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully investigated and submitted accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not attempt 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 legal representatives to help in your battle against Medicaid and Medicare fraud. We will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam lawsuit to help report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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