Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Mississippi taxpayers billions of dollars annually. While many medical providers and drug companies are ethical and work within the legal channels, some don’t. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower attorneys help people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to help report this sort of fraud.

The federal and state government place a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government relies on private citizens in Mississippi to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Hattiesburg, Mississippi

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. understand that coming forward is not simple and lots of 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 federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Hattiesburg, Mississippi

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

 

The False Claims Act allows a private citizen to file a civil suit on behalf of the federal government in order to recover damages from deceitful Medicaid activity, all while rewarded for their efforts.

 

Under the False Claims Act, the federal government can pick to join in the suit or not to step in. When the government chooses to join the suit, a whistleblower may gather in between 15 and 25 percent of the recovery as an incentive. If the government chooses not to take part in the suit, the whistleblower can collect in between 25 and 30 percent of the recovery.

 

Whistleblowers are also safeguarded by the False Claims Act against any retaliation by their employer as a result of submitting a suit.

Liability of the Defendant in Hattiesburg, Mississippi

Under the federal False Claims Act, the defendant may be ordered by the courts to pay damages in the amount of as much as triple the monetary harm to the government. In addition, the defendant will likewise be required to pay obligatory penalties for each claim violation.

Statute of Limitations in Hattiesburg, Mississippi

Under the federal False Claims Act, a whistleblower must submit their complaint within 10 years of the date of the incorrect claim infraction.

Working With an Experienced Whistleblower Lawyer

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

 

If you know of Medicaid scams in Hattiesburg, Mississippi, we may 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 United States. We offer a confidential, no-cost consultation so we can discuss your case and so that you can understand your rights . Contact us to arrange a 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 Hattiesburg, 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 Hattiesburg, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Hattiesburg, Mississippi

If you’ve become aware of potential fraud as it concerns Medicare or Medicaid in Hattiesburg, Mississippi, you require the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and filed accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the government will intervene, hence increasing the chance for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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