Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Warner Robins, Georgia

Medicare and Medicaid fraud cost Georgia taxpayers billions of dollars every year. Although the majority of medical providers and drug companies are honest and work within the system, there are those who do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to submit claims on behalf of the government to help report this type of fraud.

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

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. understand that stepping forward is challenging and lots of 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 state of federal government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Warner Robins, 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 suit against these parties on behalf of the state.

 

Under the Taxpayer Protection False Claims Act, whistleblowers may also file a qui tam suit if they know of people, business, or other entities that purposefully submit incorrect or deceitful claims or purposefully 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 may possibly recuperate in between 15 and 25 percent of the recovery in a reward when the Georgia Attorney General is party to the lawsuit. If the state does not participate in the lawsuit, the whistleblower might be rewarded between 25 and 30 percent of the recovery. The court might reduce an award depending upon the role that the whistleblower had in the scams 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 protected from employer retaliation.

Liability of the Defendant in Warner Robins, Georgia

Under both acts, the offender might be required to pay up to 3 times the amount of damage to the state. The offender can also be required to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Georgia

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

Working With an Experienced Whistleblower Lawyer

If you are aware of Medicaid scams in Warner Robins, Georgia,, you might be able to submit a qui tam lawsuit holding that entity liable. Contact Khurana Law Firm for a completely confidential, no-cost assessment in order 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 Warner Robins, 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 Warner Robins, 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 Warner Robins, Georgia

When you become aware of potential fraud that may involve Medicaid or Medicare in Warner Robins, Georgia, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is totally investigated and filed accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t attempt 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 legal representatives to help in your battle against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam suit to help report the scams and allow you to collect a reward. 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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