Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Southaven, Mississippi

Medicaid and Medicare fraud cost Mississippi taxpayers billions of dollars annually. Although many medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower lawyers can help people who work in the healthcare system to file lawsuits on behalf of the federal or state government to report these kinds of scams.

The federal and state government put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on every day people in Mississippi to come forward and to report fraud. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work tirelessly with you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Southaven, 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 allows a private citizen to submit a civil claim 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 select to join in the lawsuit or not to step in. When the federal government chooses to join the lawsuit, a whistleblower may collect in between 15 and 25 percent of the recovery as a reward. If the government elects not to join the lawsuit, 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 company as an outcome of submitting a suit.

Liability of the Defendant in Southaven, Mississippi

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

Statute of Limitations in Southaven, Mississippi

Under the federal False Claims Act, a whistleblower needs to submit 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 deceptive Medicaid activity against the government can submit a qui tam claim and gather a significant reward for their efforts.

 

If you have knowledge of Medicaid scams in Southaven, Mississippi, we might be able to assist. At Khurana Law Firm, we have over 20 years of experience in complicated lawsuits, qui tam, and whistleblower law in states throughout the country. We provide a completely confidential, no-cost assessment so we can discuss your case and so that you can understand your rights under the law. Contact us to set up 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 Southaven, 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 Southaven, 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 LAWYER; We are proud to represent healthcare workers in Southaven, Mississippi

When you become aware of deceitful activity that may concern Medicaid or Medicare in Southaven, Mississippi, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally investigated and submitted accurately and without delay. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, hence increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams 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 prior experience as national qui tam attorneys to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam suit to report the fraud and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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