Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Towson, Maryland

Medicare and Medicaid fraud cost Maryland taxpayers billions of dollars annually. While the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the government to help 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, it depends on private citizens in Maryland to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. We know that stepping forward is hard and many things might 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 investigate your claim, carefully prepare your case, and work tirelessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Towson, Maryland

The Maryland False Health Claims Act makes persons or business entities who present fraudulent claims associated with Maryland state health plans or programs, including the Medicaid program, accountable for their actions. In 2015, the Maryland False Claims Act was enacted to expand the scope of the False Health Claims Act to enable individuals who have knowledge of scams against the government outside of the healthcare context the capability to file a qui tam claim.

 

A whistleblower lawsuit is a civil suit brought by a a person on behalf of the state to collect from entities that intentionally present incorrect claims or otherwise may have committed fraud state programs for their own gain.

 

In a qui tam suit, a whistleblower serves as the claimant to hold these parties accountable for their actions. Maryland law requires that the suit also be entered into by the state government in order for it to go 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 Towson, Maryland

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

Statute of Limitations in Maryland

In Maryland, a complainant must file a whistleblower claim within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of fraud against the state of Maryland in Towson, Maryland, call the skilled whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost consultation in order to discuss your case. You might be entitled to a substantial 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 Towson, 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 Towson, 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 Towson, Maryland

When you become aware of fraud as it concerns Medicaid or Medicare in Towson, Maryland, you need the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is completely investigated and submitted accurately and promptly. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not attempt 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 Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam suit to help report the scams and enable you to collect a reward. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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