Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Manchester, New Hampshire

Medicare and Medicaid fraud cost New Hampshire taxpayers billions of dollars each year. Although many medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower lawyers can assist people who work in the healthcare system to submit lawsuits on behalf of the government to report this sort of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it depends on every day people in New Hampshire to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Manchester, New Hampshire

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is challenging and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Manchester, New Hampshire

In the state of New Hampshire, whistleblowers can submit a civil claim called a qui tam suit under the New Hampshire False Claims Act if they know of deceitful activity against the state’s Medicaid program. The Act holds those persons or entities responsible who have purposefully presented false or deceitful claims for payment under the state’s healthcare program, misused state funds, or scammed the state so as to prevent binding obligations.

 

An action for recuperation might only continue if the defendant’s principal location is in the state of New Hampshire or if the defendant has actually received at least 10 percent of its overall insurance repayments from the New Hampshire Medicaid program during the year prior to the filing of the lawsuit.

 

If a whistleblower files a qui tam claim with the intervention of the state, they can be awarded a significant reward in the amount of 15 to 25 percent of the recovery. If the state chooses not to step in, the whistleblower might be granted a financial reward of between 25 and 30 percent of the financial recovery. The whistleblower is likewise further safeguarded from any employer retaliation as the outcome of the whistleblower suit and complaint.

Liability of the Defendant in New Hampshire

Under the New Hampshire False Claims Act, a defendant might be ordered to pay fines and charges of as much as 3 times the real damage to the state, in addition to fines of in between $5,000 and $10,000 for every specific offense of the Act.

Statute of Limitations in Manchester, New Hampshire

In New Hampshire, a whistleblower needs to submit their lawsuit within ten years of the date of the offense.

Working With an Experienced Whistleblower Attorney

If you are a healthcare worker in Manchester, New Hampshire and know of deceitful activity with regard to New Hampshire’s Medicaid program, you ought to get the legal guidance of a knowledgeable whistleblower lawyer. At Khurana Law Firm, P.C., our skilled team of legal representatives will help you understand your rights and options as they involve a qui tam claim. Contact us for a completely confidential, no-cost consultation 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 Manchester, 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 Manchester, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Manchester, New Hampshire

When you become aware of fraud involving Medicaid or Medicare in Manchester, New Hampshire, you require the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the government will step in, thus increasing the opportunity 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 help in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam suit to help report the fraud and enable you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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