Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Columbia, Maryland

Medicare and Medicaid fraud cost Maryland taxpayers billions of dollars annually. Although many medical service providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to file claims on behalf of the federal or state government to help report this type of fraud.

The federal and state governments put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government counts on every day people 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 employees in Columbia, Maryland

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. understand that coming forward is challenging and numerous things may 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, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Columbia, Maryland

The Maryland False Health Claims Act makes persons or business entities who present fraudulent claims related to Maryland state programs or health plans, including Medicaid, liable for their actions. In 2015, the Maryland False Claims Act was enacted to broaden the scope of the False Health Claims Act to enable people who know of fraud against the government outside of the health care context the capability to come forward with a qui tam lawsuit.

 

A whistleblower claim 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 commit fraud on state programs for their own gain.

 

In a qui tam claim, a whistleblower serves as the complainant 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 go forward. This allows the state government the capability to recuperate funds that it lost as a result of the deceptive activity, along with penalties and fines.

Whistleblower Protections in Columbia, Maryland

Under whistleblower laws, the individual reporting the deceptive activity is safeguarded from retaliation by an employer. The whistleblower might likewise be awarded 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, an offender can be ordered to pay the state government damages in the amount of up to 3 times the amount of harm to the state. The accused 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 must submit a whistleblower claim within 10 years of the violation.

Working With an Experienced Whistleblower Attorney

If you have knowledge of fraud against the state of Maryland in Columbia, Maryland, contact the skilled whistleblower lawyers at Khurana Law Firm for a confidential, no-cost assessment in order 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 Columbia, 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 Columbia, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Columbia, Maryland

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Columbia, Maryland, you may need the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is completely investigated and filed accurately and promptly. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. Our attorneys will examine 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 reward. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can be of help.

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