Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Gulfport, Mississippi

Medicare and Medicaid fraud cost Mississippi taxpayers billions of dollars annually. Although most medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file suits on behalf of the federal or state government to report this type of fraud.

The federal and state government put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it relies on private citizens in Mississippi to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Gulfport, Mississippi

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and numerous 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 assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Gulfport, Mississippi

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

 

The False Claims Act makes it possible for a private citizen to submit a civil suit on behalf of the federal government to recover damages from fraudulent 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 to step in. When the government picks to join the suit, a whistleblower might gather between 15 and 25 percent of the recovery as a reward. If the government chooses not to join the litigation, the whistleblower can collect in 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 Gulfport, Mississippi

Under the federal False Claims Act, the offender might be ordered to pay damages in the amount of up to triple the financial harm to the government. In addition, the offender will also be required to pay obligatory charges for each claim violation.

Statute of Limitations in Gulfport, Mississippi

Under the federal False Claims Act, a whistleblower needs to file their complaint within 10 years of the date of the incorrect claim offense.

Working With an Experienced Whistleblower Lawyer

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

 

If you have knowledge of Medicaid fraud in Gulfport, Mississippi, we might be able to assist. At Khurana Law Firm, we have more than 20 years of experience in complicated litigation, qui tam, and whistleblower law in states throughout the nation. We provide a completely confidential, no-cost assessment so that we can discuss your case and so that you can understand your rights under the law. Contact us to set up a no cost consultation.

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 Gulfport, 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 Gulfport, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Gulfport, Mississippi

When you become aware of deceptive activity as it concerns Medicaid or Medicare in Gulfport, Mississippi, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will step in, thus increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t 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 fight against Medicare and Medicaid fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam claim to report the fraud and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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