Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Biloxi, Mississippi

Medicare and Medicaid fraud cost Mississippi taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to submit claims on behalf of the federal or state government to report these kinds of scams.

The federal and state government put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it depends on private citizens in Mississippi to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Biloxi, Mississippi

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is not simple and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, 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 Biloxi, Mississippi

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

 

The False Claims Act enables an individual to file a civil claim on behalf of the federal government to recuperate damages from deceptive Medicaid activity, all while rewarded for their efforts.

 

Under the False Claims Act, the federal government can choose to take part in the suit or not. When the federal government picks to take part in the lawsuit, a whistleblower might gather between 15 and 25 percent of the recovery as a reward. If the government chooses not to participate in the suit, the whistleblower can collect between 25 and 30 percent of the financial recovery.

 

Whistleblowers are also protected by the False Claims Act against any retaliation by their employer as an outcome of filing a suit.

Liability of the Defendant in Biloxi, Mississippi

Under the federal False Claims Act, the offender may be ordered by the courts to pay damages in the amount of up to triple the monetary loss to the government. In addition, the offender will also be required to pay the necessary penalties for each claim infraction.

Statute of Limitations in Biloxi, Mississippi

Under the federal False Claims Act, a whistleblower should submit their complaint within ten years of the date of the false claim offense.

Working With an Experienced Whistleblower Attorney

Under the federal False Claims Act, heroic people who have proof of deceitful Medicaid activity against the government can submit a qui tam suit and gather a substantial financial reward for their efforts.

 

If you know of Medicaid fraud in Biloxi, Mississippi, we may be able to assist. At Khurana Law Firm, we have over 20 years of experience in complex litigation, qui tam, and whistleblower law in states throughout the United States. We provide a confidential, no-cost consultation so we can discuss your case and so that 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 are a healthcare worker in Biloxi, Mississippi, 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 Biloxi, Mississippi,  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 Biloxi, Mississippi

When you become aware of potential fraud that may concern Medicaid or Medicare in Biloxi, Mississippi, you may need the advice of a skilled whistleblower lawyer, someone who can make sure that your claim is totally investigated and submitted accurately and without delay. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam lawsuit to help report the scams and allow you to collect a financial benefit. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can be of help.

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