Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars every year. While most medical providers and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to submit lawsuits on behalf of the government to report these kinds of scams.

The state and federal governments place a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies 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 health care workers in Waldorf, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is difficult and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work tirelessly with both you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Waldorf, Maryland

The Maryland False Health Claims Act makes persons or business entities who present fraudulent claims connected to Maryland state health plans or programs, including Medicaid, accountable for their actions. In 2015, the Maryland False Claims Act was enacted to broaden the scope of the False Health Claims Act to allow people who have knowledge of scams against the government beyond the healthcare context the ability to come forward with a qui tam claim.

 

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

 

In a qui tam claim, a whistleblower acts as the claimant to hold these parties responsible for their actions. Maryland law requires that the suit likewise be participated in by the state government in order for it to move forward. This permits the state government the capability to recuperate funds that it lost as an outcome of the deceitful activity, along with penalties and fines.

Whistleblower Protections in Waldorf, Maryland

Under whistleblower laws, the individual reporting the deceptive activity is protected from retaliation by a company. The whistleblower might likewise be awarded a reward of in between 15 and 25 percent of the amount 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 dollar amount of damage to the state. The offender can also be ordered to pay fines of as much as $10,000 per offense.

Statute of Limitations in Maryland

In Maryland, a plaintiff must submit a whistleblower claim within 10 years of the offense.

Working With an Experienced Whistleblower Attorney

If you have knowledge of fraud against the state of Maryland in Waldorf, Maryland, get in touch with the knowledgeable whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost consultation and 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 Waldorf, 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 Waldorf, 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 Waldorf, Maryland

When you become aware of deceptive activity that may concern Medicare or Medicaid in Waldorf, Maryland, you may need the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the government will step in, thus increasing the chance for a financial reward. Reporting Medicare and Medicaid 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 lawyers to help in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam suit to report the fraud and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can help.

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