Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in South Fulton, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars every year. Although most medical companies and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file claims on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in South Fulton, Georgia

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the industry. understand that stepping forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in South Fulton, Georgia

That state of Georgia enables people to come forward to report fraudulent activity against the state’s Medicaid program under the Georgia False Medicaid Claims Act and enables them to bring lawsuit against these entities on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers may likewise submit a qui tam suit if they know of people, business, or other entities that knowingly send incorrect or fraudulent claims or intentionally and improperly prevent obligations to the state or local government. This requires the written approval of the Georgia Attorney General.

 

Under both acts, a whistleblower might potentially recuperate 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 lawsuit, the whistleblower may be rewarded in between 25 and 30 percent of the financial 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 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 South Fulton, Georgia

Under both acts, the offender might be ordered to pay up to 3 times the quantity of harm to the state. The defendant 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 must start their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of Medicaid fraud in South Fulton, Georgia,, you may be able to submit a qui tam lawsuit holding that party responsible. 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 South Fulton, 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 South Fulton, 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 South Fulton, Georgia

If you’ve become aware of fraud involving Medicaid or Medicare in South Fulton, Georgia, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicare and Medicaid 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 experience as national qui tam lawyers to help in your battle against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and allow you to gather a financial benefit. Because 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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