Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Asheville, North Carolina

Medicare and Medicaid fraud cost North Carolina taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are ethical and work within the system, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Asheville, North Carolina

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Asheville, North Carolina

Those who perpetrate fraud against the Medicaid program in North Carolina cost millions of dollars to taxpayers. The State counts on whistleblowers to assist combat scams in the Medicaid health care system. These people can step forward under the North Carolina False Claims Act.

 

The North Carolina False Claims Act allows a whistleblower to submit a civil lawsuit on behalf of the State if they know of deceptive activity. The Act makes anybody who commits Medicaid fraud liable for losses and damages to the State. It further makes it possible for whistleblowers to be rewarded for their heroic efforts.

 

A successful whistleblower litigation may entitle the individual to awards of between 15 and 25 percent of the state’s financial recovery should they intervene in the lawsuit. If the whistleblower elects to prosecute separately, she or he may be awarded in between 25 and 30 percent of the healing. These benefits will be contingent on the whistleblower’s participation in the deceitful activity or the source of the details.

 

Under the North Carolina False Claims Act, the whistleblower is likewise protected from any employer retaliation that may result from the reporting.

Liability of the Defendant in Asheville, North Carolina

The accused in a whistleblower suit in North Carolina may be ordered by the court to pay up to 3 times the real damages to the state in addition to fines of in between $5,500 and $11,000 for each offense.

Statute of Limitations in North Carolina

People submitting a whistleblower lawsuit in the state of North Carolina should submit their complaint within ten years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

Because of the state government’s reliance on whistleblowers to recover lost funds due to Medicaid scams, they will typically reward those people handsomely. If you know of Medicaid scams in Asheville, North Carolina and elect to come forward, you should understand your rights and legal protections under the North Carolina False Claims Act. At Khurana Law Firm, P.C., our skilled team of whistleblower attorneys can advise and guide you. Contact us for a confidential, no-cost assessment and to discuss 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 Asheville, North Carolina, 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 Asheville, North Carolina,  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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Asheville, North Carolina

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Asheville, North Carolina, you require the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully examined and filed accurately and quickly. By working 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 bring years of experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare 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 claim to report the fraud and allow you to collect a financial benefit. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can be of help.

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