Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Savannah, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars each year. While many medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to submit lawsuits on behalf of the government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Savannah, Georgia

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the market. understand that stepping forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Savannah, 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 suit against these entities on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers may also submit a qui tam suit if they know of individuals, companies, or other entities that knowingly submit incorrect or fraudulent claims or intentionally and incorrectly prevent obligations to the state or regional 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 litigation, the whistleblower may be rewarded in between 25 and 30 percent of the financial recovery. The court might 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 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 Savannah, Georgia

Under both acts, the accused may be required to pay up to three times the quantity of harm to the state. The accused 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 should initiate their problem within 10 years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you know of Medicaid fraud in Savannah, Georgia,, you may have the right to submit a qui tam claim holding that party liable. Contact Khurana Law Firm for a completely confidential, no-cost assessment in order 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 Savannah, 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 Savannah, 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 Savannah, Georgia

When you become aware of deceptive activity involving Medicaid or Medicare in Savannah, Georgia, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely investigated and filed accurately and immediately. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, thus increasing your chances for a reward. Reporting Medicaid and Medicare scams 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 practical experience as national qui tam attorneys to help 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 you may have a valid claim, we may represent you in a qui tam claim to help report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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