Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Columbus, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars annually. Although most medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers assist healthcare professionals to file claims on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Columbus, Georgia

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the market. understand that coming forward is difficult and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, for court, and work relentlessly with you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Columbus, Georgia

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

 

Under the Taxpayer Protection False Claims Act, whistleblowers might also submit a qui tam suit if they are aware of individuals, business, or other entities that knowingly send false or deceitful claims or intentionally and improperly prevent commitments to the state or local government. This requires the written approval of the Georgia Attorney General.

 

Under both acts, a whistleblower may possibly recover between 15 and 25 percent of the financial recovery in a reward when the Georgia Attorney General is participant to the lawsuit. If the state does not take part in the litigation, the whistleblower might be rewarded between 25 and 30 percent of the financial recovery. The court may minimize an award depending on the role that the whistleblower had in the fraud or if the action was based on info that was publicly divulged.

 

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

Liability of the Defendant in Columbus, Georgia

Under both acts, the accused may be required to pay up to 3 times the quantity of damage to the state. The defendant can also be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Georgia

Under both laws, a whistleblower should initiate their grievance within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of Medicaid fraud in Columbus, Georgia,, you may have the right to submit a qui tam suit holding that entity accountable. Contact Khurana Law Firm for a confidential, no-cost consultation so as 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 Columbus, 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 Columbus, 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 Columbus, Georgia

When you become aware of potential fraud that may concern Medicare or Medicaid in Columbus, Georgia, you may need the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not try 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 lawyers to help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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