Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Maryland taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everybody loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to submit lawsuits on behalf of the federal or state government to help report this sort 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, the government counts on regular folks in Maryland to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Baltimore, Maryland

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 fraud in the industry. We know that stepping forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, for court, and work tirelessly with you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Baltimore, Maryland

The Maryland False Health Claims Act makes individuals who present fraudulent claims associated with Maryland state programs or health plans, including the Medicaid program, liable 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 have knowledge of fraud against the government beyond the health care context the ability to file a qui tam suit.

 

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

 

In a qui tam claim, a whistleblower acts as the complainant to hold these parties liable for their actions. Maryland law requires that the lawsuit likewise be participated in by the government in order for it to go forward. This enables the state government the capability to recuperate funds that it lost as a result of the fraudulent activity, along with penalties and fines.

Whistleblower Protections in Baltimore, Maryland

Under whistleblower laws, the person reporting the deceptive activity is safeguarded from retaliation by a company. The whistleblower might also be awarded a reward 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, an accused can be ordered to pay the state government damages in the quantity of as much as three times the amount of damage to the state. The offender can likewise be ordered by the court to pay fines of as much as $10,000 per offense.

Statute of Limitations in Maryland

In Maryland, a plaintiff needs to file a whistleblower claim within 10 years of the offense.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraud against the state of Maryland in Baltimore, Maryland, get in touch with the experienced whistleblower lawyers at Khurana Law Firm for a completely confidential, no-cost consultation to discuss your case. You may be entitled to a significant reward 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 Baltimore, 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 Baltimore, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Baltimore, Maryland

If you’ve become aware of fraud involving Medicaid or Medicare in Baltimore, Maryland, you need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and immediately. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not 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 attorneys 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 you have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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