Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars every year. Although many medical service providers and drug companies are ethical and work within the legal channels, some don’t. When fraud happens, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file lawsuits on behalf of the government to report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Glen Burnie, Maryland

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the industry. understand that stepping forward is not easy and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Glen Burnie, Maryland

The Maryland False Health Claims Act makes persons who provide false claims connected to Maryland state programs or health plans, including Medicaid, 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 come forward with a qui tam suit.

 

A whistleblower suit is a civil lawsuit brought by an individual on behalf of the state to collect from entities that intentionally present incorrect claims or otherwise defraud state programs for their own gain.

 

In a qui tam lawsuit, a whistleblower serves as the complainant to hold these parties accountable for their actions. Maryland law requires that the lawsuit also be entered into by the government in order for it to move forward. This permits the state government the capability to recover funds that it lost as a result of the deceitful activity, as well as penalties and fines.

Whistleblower Protections in Glen Burnie, Maryland

Under whistleblower laws, the person reporting the deceptive activity is safeguarded from retaliation by an employer. The whistleblower might likewise be awarded a benefit of between 15 and 25 percent of the quantity of the recovery.

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 government damages in the quantity of up to 3 times the amount of damage to the state. The defendant can likewise be ordered to pay fines of as much as $10,000 per offense.

Statute of Limitations in Maryland

In Maryland, a complainant must submit 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 Glen Burnie, Maryland, contact the skilled whistleblower attorneys at Khurana Law Firm for a confidential, no-cost assessment and to discuss your case. You may be entitled to a substantial 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 Glen Burnie, 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 Glen Burnie, 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 Glen Burnie, Maryland

If you’ve become aware of deceptive activity involving Medicare or Medicaid in Glen Burnie, Maryland, you need the guidance of an experienced whistleblower attorney, someone who can make sure that your claim is completely investigated and submitted accurately and quickly. By dealing with an experienced attorney you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not try 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 attorneys to help in your battle against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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