Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Aspen Hill, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars annually. Although many medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to submit lawsuits on behalf of the government to help report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Aspen Hill, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the industry. understand that coming forward is difficult and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Aspen Hill, Maryland

The Maryland False Health Claims Act makes individuals who provide fraudulent claims connected to Maryland state programs or health plans, including the Medicaid program, accountable for their actions. In 2015, the Maryland False Claims Act was enacted to broaden the scope of the False Health Claims Act to permit people who know of fraud against the state government beyond the health care context the capability to file a qui tam claim.

 

A whistleblower claim is a civil suit brought by a a private individual on behalf of the state to collect from parties that knowingly present incorrect claims or otherwise may have committed fraud state programs for their own gain.

 

In a qui tam suit, a whistleblower serves as the plaintiff to hold these parties responsible for their actions. Maryland law requires that the lawsuit also be participated in by the government in order for it to go forward. This permits the government the capability to recuperate funds that it lost as an outcome of the fraudulent activity, as well as charges and fines.

Whistleblower Protections in Aspen Hill, Maryland

Under whistleblower laws, the individual reporting the fraudulent activity is safeguarded from retaliation by a company. The whistleblower might likewise be granted a benefit of in between 15 and 25 percent of the quantity of the funds recovered.

Liability of the Defendant in Maryland

Under the Maryland False Claims Act as well as Maryland’s False Health Claims Act, a defendant can be ordered by the court to pay the state government damages in the amount of as much as 3 times the amount of damage to the state. The defendant can also be ordered to pay fines of as much as $10,000 per violation.

Statute of Limitations in Maryland

In Maryland, a complainant should file a whistleblower claim within 10 years of the violation.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraud against the state of Maryland in Aspen Hill, Maryland, get in touch with the skilled whistleblower attorneys at Khurana Law Firm for a confidential, no-cost consultation in order to discuss your case. You might be entitled to a significant compensation for your efforts.

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 Aspen Hill, Maryland, 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 Aspen Hill, Maryland,  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 Aspen Hill, Maryland

If you’ve become aware of potential fraud involving Medicaid or Medicare in Aspen Hill, Maryland, you need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the chance for a reward. Reporting Medicaid and Medicare scams is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to assist in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to collect a reward. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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