Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Ellicott City, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars every year. Although many medical providers and drug companies are ethical and work within the system, there are those who don’t. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers help healthcare workers to file lawsuits on behalf of the government to report this sort of fraud.

The federal and state 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 to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Ellicott City, Maryland

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the market. understand that coming forward is not easy and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Ellicott City, Maryland

The Maryland False Health Claims Act makes individuals who present false claims associated with 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 individuals who have knowledge of fraud against the state government outside of the health care context the capability to file a qui tam claim.

 

A whistleblower claim is a civil claim brought by a a person on behalf of the state to collect from entities that intentionally present false claims or otherwise defraud state programs for their own gain.

 

In a qui tam suit, a whistleblower serves as the complainant to hold these parties liable for their actions. Maryland law requires that the suit also be entered into by the government in order for it to move forward. This allows the government the capability to recuperate funds that it lost as a result of the deceitful activity, in addition to charges and fines.

Whistleblower Protections in Ellicott City, Maryland

Under whistleblower laws, the individual reporting the fraudulent activity is protected from retaliation by an employer. The whistleblower may also 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, an accused can be ordered to pay the state government damages in the amount of as much as three times the amount of harm to the state. The defendant can also be ordered by the court to pay fines of up to $10,000 per offense.

Statute of Limitations in Maryland

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

Working With an Experienced Whistleblower Attorney

If you know of fraud against the state of Maryland in Ellicott City, Maryland, contact the skilled whistleblower attorneys at Khurana Law Firm for a confidential, no-cost consultation and to discuss your case. You might 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 Ellicott City, 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 Ellicott City, 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 Ellicott City, Maryland

If you’ve become aware of fraud involving Medicare or Medicaid in Ellicott City, Maryland, you require the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is completely examined and filed accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t 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 legal representatives to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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