Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Sandy Springs, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars annually. While many medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower attorneys help healthcare workers to file suits on behalf of the government to report this sort of fraud.

The state and federal governments place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on every day people in Georgia to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Sandy Springs, Georgia

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping 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 extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Sandy Springs, Georgia

That state of Georgia allows people to come forward to report fraudulent 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 send incorrect or deceptive claims or intentionally and incorrectly avoid responsibilities to the state or local government. This type of action involves the written approval of the Georgia Attorney General.

 

Under both acts, a whistleblower might possibly recover between 15 and 25 percent of the recovery in compensation when the Georgia Attorney General is party to the lawsuit. If the state does not participate in the case, 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 information that was publicly disclosed.

 

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

Liability of the Defendant in Sandy Springs, Georgia

Under both acts, the accused might be required to pay up to three times the quantity of damage to the state. The accused can likewise be required to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Georgia

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

Working With an Experienced Whistleblower Lawyer

If you have knowledge of Medicaid scams in Sandy Springs, Georgia,, you might have the right to submit a qui tam suit holding that entity liable. 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 Sandy Springs, 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 Sandy Springs, 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 ATTORNEY; We are proud to represent healthcare workers in Sandy Springs, Georgia

When you become aware of potential fraud as it concerns Medicare or Medicaid in Sandy Springs, Georgia, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely investigated and filed accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the opportunity for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not attempt 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 legal representatives to assist in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam suit to report the fraud and allow you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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