Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Rockville, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars every year. While most medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys assist healthcare workers to file suits on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments place a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on regular folks in Maryland to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Rockville, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the market. understand that coming forward is hard 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 extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work tirelessly with both you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Rockville, Maryland

The Maryland False Health Claims Act makes persons who provide false claims related to Maryland state programs or health plans, including Medicaid, responsible for their actions. In 2015, the Maryland False Claims Act was enacted to expand the scope of the False Health Claims Act to permit individuals who know of fraud against the state government beyond the healthcare context the capability to come forward with a qui tam suit.

 

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

 

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

Whistleblower Protections in Rockville, Maryland

Under whistleblower laws, the person reporting the fraudulent activity is safeguarded from retaliation by an employer. The whistleblower might also be granted 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 offender can be ordered to pay the state government damages in the quantity of as much as 3 times the amount of harm to the state. The offender can likewise be ordered by the court 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 violation.

Working With an Experienced Whistleblower Attorney

If you have knowledge of scams against the state of Maryland in Rockville, Maryland, call the knowledgeable whistleblower attorneys at Khurana Law Firm for a confidential, no-cost assessment in order to discuss your case. You might be entitled to a significant 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 Rockville, 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 Rockville, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Rockville, Maryland

When you become aware of deceitful activity involving Medicare or Medicaid in Rockville, Maryland, you require the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and without delay. By working with an experienced lawyer you are increasing the chance that the government will intervene, thus increasing your chances for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam attorneys to help in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we can represent you in a qui tam suit to report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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