Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Bel Air South, Maryland

Medicare and Medicaid fraud cost Maryland taxpayers billions of dollars each year. Although the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the federal or state government to report these kinds of scams.

The federal and state governments place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on every day people in Maryland to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Bel Air South, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that stepping forward is not easy and numerous things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Bel Air South, Maryland

The Maryland False Health Claims Act makes individuals who present false claims related to Maryland state health plans or programs, including the Medicaid program, liable for their actions. In 2015, the Maryland False Claims Act was enacted to expand the scope of the False Health Claims Act to allow people who know of fraud against the government beyond the healthcare context the capability to file a qui tam lawsuit.

 

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

 

In a qui tam lawsuit, a whistleblower functions as the claimant to hold these parties accountable for their actions. Maryland law requires that the lawsuit likewise be participated in by the government in order for it to move forward. This enables the government the ability to recuperate funds that it lost as a result of the fraudulent activity, as well as charges and fines.

Whistleblower Protections in Bel Air South, Maryland

Under whistleblower laws, the person reporting the deceitful activity is safeguarded from retaliation by a company. The whistleblower may also be awarded a benefit of in between 15 and 25 percent of the amount of the recovery.

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 government damages in the amount of as much as three times the amount of harm to the state. The offender can likewise be ordered to pay fines of up to $10,000 per infraction.

Statute of Limitations in Maryland

In Maryland, a complainant should submit a whistleblower claim within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of scams against the state of Maryland in Bel Air South, Maryland, call the skilled whistleblower lawyers at Khurana Law Firm for a completely confidential, no-cost consultation and to discuss your case. You may be entitled to a considerable 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 Bel Air South, 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 Bel Air South, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Bel Air South, Maryland

When you become aware of potential fraud that may involve Medicaid or Medicare in Bel Air South, Maryland, you may need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is completely examined and filed accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the government will step in, hence increasing your chances for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam claim to help 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 recovery. Get in touch with us today to learn how we can help.

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