Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Marietta, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars every year. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, some don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers can assist people who work in the healthcare system to file lawsuits on behalf of the federal or state government to help report this type of fraud.

The state and federal government put a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it relies 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 Marietta, Georgia

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Marietta, Georgia

That state of Georgia allows 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 suit against these entities on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers might likewise submit a qui tam lawsuit if they know of individuals, business, or other entities that intentionally submit incorrect or deceitful claims or intentionally and incorrectly avoid responsibilities to the state or local government. This involves the written approval of the Georgia Attorney General.

 

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

 

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

Liability of the Defendant in Marietta, Georgia

Under both acts, the offender might be ordered to pay up to three times the quantity of harm to the state. The accused can also 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 offense.

Working With an Experienced Whistleblower Lawyer

If you know of Medicaid scams in Marietta, Georgia,, you might have the right to submit a qui tam lawsuit 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 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 Marietta, 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 Marietta, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Marietta, Georgia

If you’ve become aware of potential fraud involving Medicare or Medicaid in Marietta, Georgia, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and submitted accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, thus increasing the possibility 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 have years of experience as national qui tam lawyers to assist in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and allow you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can help.

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