Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Smyrna, Georgia

Medicare and Medicaid fraud cost Georgia taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to submit claims on behalf of the government to help report this type of fraud.

The federal and state governments place a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it relies on regular folks in Georgia to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Smyrna, Georgia

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

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

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Whistleblower Laws in Smyrna, Georgia

That state of Georgia enables 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 case against these parties on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers may also submit a qui tam lawsuit if they are aware of individuals, business, or other entities that purposefully submit incorrect or deceptive claims or intentionally and incorrectly avoid responsibilities to the state or local government. This type of action 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 financial recovery in compensation when the Georgia Attorney General is participant to the case. If the state does not participate in the lawsuit, the whistleblower might be rewarded in between 25 and 30 percent of the recovery. The court may reduce an award depending on the function that the whistleblower had in the fraud or if the action was based on info that was publicly disclosed.

 

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 Smyrna, Georgia

Under both acts, the accused might be ordered to pay up to three times the amount of damage to the state. The accused can also 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 ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you are aware of Medicaid scams in Smyrna, Georgia,, you may be able to file a qui tam claim holding that party 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 Smyrna, 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 Smyrna, 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 Smyrna, Georgia

If you’ve become aware of fraudulent activity that may concern Medicare or Medicaid in Smyrna, Georgia, you need the advice of an experienced whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and immediately. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t attempt 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 contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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