Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Mississippi

Medicare and Medicaid fraud cost Mississippi taxpayers billions of dollars each year. Although many medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to submit claims on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Mississippi

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the market. understand that coming forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Mississippi

Mississippi does not have a state false claims act of its own. However, in the case when a private individual has knowledge of fraudulent Medicaid activity, they may file a whistleblower claim under the federal False Claims Act. 

The False Claims Act enables an individual to file a civil lawsuit on behalf of the federal government to recover damages from fraudulent Medicaid activity, getting rewarded for their efforts. 

Under the False Claims Act, the federal government can choose to join in the suit or not. When the government chooses to join the lawsuit, a whistleblower may collect between 15 and 25 percent of the recovery as a reward. If the government elects not to join the suit, the whistleblower can collect between 25 and 30 percent of the recovery. 

Whistleblowers are also protected by the False Claims Act against any retaliation by their employer as a result of filing a lawsuit. 

If you are a Louisiana healthcare worker, get in touch with Louisiana Medicare Whistleblower attorney.

Liability of the Defendant in Mississippi

Under the federal False Claims Act, the defendant may be ordered to pay damages in the amount of up to triple the amount of financial harm to the government. In addition, the defendant will also be required to pay mandatory penalties for each claim violation.

Statute of Limitations in Mississippi

Under the federal False Claims Act, a whistleblower must file their complaint within ten years of the date of the false claim violation.

Working With an Experienced Whistleblower Attorney

Under the federal False Claims Act, heroic individuals who have evidence of fraudulent Medicaid activity against the government can file a qui tam lawsuit and collect a substantial reward for their efforts. 


If you have knowledge of Medicaid fraud in Mississippi, we may be able to help. At Khurana Law Firm, we have over 20 years experience in complex litigation, qui tam and whistleblower law in states throughout the country. We offer a confidential, no-cost consultation so we can discuss your case and you can understand your rights under the law. Contact us to schedule an appointment.

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 can report it 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. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With An Experienced WHISTLEBLOWER ATTORNEY

When you become aware of fraud involving Medicaid or Medicare, you require the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare scams 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 fight against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can help.

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