Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Georgia taxpayers billions of dollars annually. While the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to file suits on behalf of the federal or state government to report these kinds of scams.

The state and federal government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts on private citizens in Georgia to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Valdosta, 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. understand that stepping forward is not easy and lots of things might 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 investigate your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Valdosta, Georgia

That state of Georgia enables individuals to come forward to report deceitful 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 might also file a qui tam suit if they know of individuals, companies, or other entities that intentionally send false or fraudulent claims or purposefully and improperly avoid obligations to the state or local government. This 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 party to the litigation. 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 may minimize an award depending on the role that the whistleblower had in the fraud or if the action was based on information that was publicly divulged.

 

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

Liability of the Defendant in Valdosta, Georgia

Under both acts, the defendant may be ordered to pay up to three times the quantity of harm to the state. The accused can likewise be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Georgia

Under both laws, a whistleblower needs to initiate their grievance within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of Medicaid scams in Valdosta, Georgia,, you may have the right to file a qui tam suit holding that party responsible. Contact Khurana Law Firm for a confidential, no-cost assessment 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 Valdosta, 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 Valdosta, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Valdosta, Georgia

If you’ve become aware of fraud as it concerns Medicare or Medicaid in Valdosta, Georgia, you need the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is totally investigated and filed accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not 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 legal representatives to help in your battle against Medicaid and Medicare fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam suit to report the scams and enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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