Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars each year. Although most medical providers and drug companies are ethical and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to file claims on behalf of the federal or state government to report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Dundalk, 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 scams in the market. We know that coming forward is difficult and lots of things may 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 investigate your claim, carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Dundalk, Maryland

The Maryland False Health Claims Act makes persons who present false claims connected to Maryland state programs or health plans, including Medicaid, responsible 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 outside of the health care context the capability to come forward with a qui tam lawsuit.

 

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

 

In a qui tam lawsuit, a whistleblower functions as the complainant to hold these parties responsible for their actions. Maryland law requires that the suit also be participated in by the government in order for it to move forward. This allows the government the ability to recover funds that it lost as an outcome of the fraudulent activity, as well as penalties and fines.

Whistleblower Protections in Dundalk, Maryland

Under whistleblower laws, the individual reporting the fraudulent activity is safeguarded from retaliation by an employer. The whistleblower may likewise be awarded a benefit of in between 15 and 25 percent of the amount 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 government damages in the amount of up to three times the amount of damage to the state. The offender can likewise be ordered to pay fines of up to $10,000 per violation.

Statute of Limitations in Maryland

In Maryland, a plaintiff needs to submit a whistleblower claim within ten years of the violation.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraud against the state of Maryland in Dundalk, Maryland, contact the experienced whistleblower lawyers at Khurana Law Firm for a confidential, no-cost consultation in order 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 Dundalk, 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 Dundalk, 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 Dundalk, Maryland

When you become aware of potential fraud that may involve Medicare or Medicaid in Dundalk, Maryland, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally investigated and submitted accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will intervene, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam claim to report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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