Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Concord, New Hampshire

Medicare and Medicaid fraud cost New Hampshire taxpayers billions of dollars every year. While the majority of medical service providers and drug companies are honest and work within the legal channels, some do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to submit lawsuits on behalf of the government to report these kinds of scams.

The state and federal government place a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government depends on regular folks in New Hampshire to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Concord, New Hampshire

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 stepping forward is hard and numerous things may 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 examine your claim, diligently prepare your case, for court, and work tirelessly with you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Concord, New Hampshire

In the state of New Hampshire, whistleblowers can submit a civil lawsuit called a qui tam suit under the New Hampshire False Claims Act if they have knowledge of deceitful activity against the state’s Medicaid program. The Act holds those individuals or entities responsible who have purposefully provided false or deceptive claims for payment under the state’s health care program, misused state funds, or deceived the state to prevent binding responsibilities.

 

An action for recuperation might only continue if the offender’s principal location is in the state of New Hampshire or if the offender has gotten a minimum of 10% of its total insurance coverage compensations from the New Hampshire Medicaid program during the year prior to the filing of the suit.

 

If a whistleblower files a qui tam lawsuit with the intervention of the state, they can be granted a considerable reward in the amount of 15 to 25 percent of the recovery. If the state picks not to intervene, the whistleblower may be granted a financial reward of in between 25 and 30 percent of the recovery. The whistleblower is likewise further protected from any company retaliation as the outcome of the whistleblower complaint and suit.

Liability of the Defendant in New Hampshire

Under the New Hampshire False Claims Act, a defendant may be ordered to pay fines and charges of as much as three times the actual damage to the state, in addition to fines of in between $5,000 and $10,000 for every single individual offense of the Act.

Statute of Limitations in Concord, New Hampshire

In New Hampshire, a whistleblower needs to submit their suit within 10 years of the date of the violation.

Dealing with an Experienced Whistleblower Attorney

If you are a healthcare worker in Concord, New Hampshire and have knowledge of fraudulent activity with regard to New Hampshire’s Medicaid program, you need to get the legal recommendations of a skilled whistleblower lawyer. At Khurana Law Firm, P.C., our competent team of lawyers will help you understand your rights and options as they involve a qui tam suit. Contact us for a completely confidential, no-cost assessment of your case. 

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 Concord, New Hampshire, 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 Concord, New Hampshire,  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 Concord, New Hampshire

When you become aware of fraud as it concerns Medicaid or Medicare in Concord, New Hampshire, you require the advice of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare scams 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 battle against Medicaid and Medicare fraud. We will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam claim to report the scams and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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