Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Jackson, Mississippi

Medicaid and Medicare fraud cost Mississippi taxpayers billions of dollars each year. While the majority of medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower attorneys help healthcare workers to file lawsuits on behalf of the government to help 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, it counts on private citizens in Mississippi to come forward to report fraud. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. We know that stepping forward is difficult and numerous things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, and work relentlessly 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 Jackson, 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 deceptive Medicaid activity, they may submit 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 to recover damages from deceitful Medicaid activity, getting rewarded for their efforts.

 

Under the False Claims Act, the federal government can select to take part in the lawsuit or not. When the government picks to participate in the claim, a whistleblower may collect between 15 and 25 percent of the recovery as a reward. If the government elects not to participate in the case, the whistleblower can collect between 25 and 30 percent of the recovery.

 

Whistleblowers are likewise shielded by the False Claims Act against any retaliation by their company as a result of submitting a lawsuit.

Liability of the Defendant in Jackson, Mississippi

Under the federal False Claims Act, the accused might be ordered by the courts to pay damages in the amount of up to triple the monetary harm to the government. In addition, the accused will likewise be obligated to pay mandatory charges for each claim violation.

Statute of Limitations in Jackson, Mississippi

Under the federal False Claims Act, a whistleblower must file their complaint within 10 years of the date of the false claim violation.

Working With an Experienced Whistleblower Lawyer

Under the federal False Claims Act, brave individuals who have proof of fraudulent Medicaid activity against the government can file a qui tam lawsuit and gather a significant reward for their efforts.

 

If you have knowledge of Medicaid fraud in Jackson, Mississippi, we might be able to help. At Khurana Law Firm, we have more than 20 years of experience in complicated lawsuits, 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 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 Jackson, 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 Jackson, 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 LAWYER; We are proud to represent healthcare workers in Jackson, Mississippi

If you’ve become aware of potential fraud involving Medicaid or Medicare in Jackson, Mississippi, you require the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is completely investigated and filed accurately and immediately. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t try 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 battle against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to help report the scams and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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