Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Burlington, North Carolina

Medicaid and Medicare fraud cost North Carolina taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to file suits on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments place a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on private citizens in North Carolina to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Burlington, North Carolina

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the market. We know that coming forward is hard and many 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 completely investigate your claim, diligently prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Burlington, North Carolina

Those who perpetrate scams against the Medicaid program in North Carolina cost countless dollars to taxpayers. The State depends on whistleblowers to assist combat scams in the Medicaid healthcare system. These people can come forward under the North Carolina False Claims Act.

 

The North Carolina False Claims Act allows a whistleblower to file a civil claim on behalf of the State if they know of deceptive activity. The Act makes anyone who commits Medicaid fraud accountable for losses and damages to the State. It additionally makes it possible for whistleblowers to be rewarded for their brave efforts.

 

A successful whistleblower lawsuit may entitle the person to awards of in between 15 and 25 percent of the state’s financial recovery if they they intervene in the lawsuit. If the whistleblower chooses to litigate individually, he or she may be awarded between 25 and 30 percent of the healing. These rewards will be contingent on the whistleblower’s involvement in the deceitful activity or the source of the details.

 

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

Liability of the Defendant in Burlington, North Carolina

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

Statute of Limitations in North Carolina

People filing a whistleblower claim in the state of North Carolina need to submit their problem within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

Because of the state government’s reliance on whistleblowers to recover lost funds due to Medicaid fraud, they will frequently reward those people handsomely. If you are aware of Medicaid scams in Burlington, North Carolina and choose to come forward, you should understand your rights and protections under the North Carolina False Claims Act. At Khurana Law Firm, P.C., our experienced team of whistleblower lawyers can advise and assist you. Contact us for a completely confidential, no-cost consultation 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 Burlington, 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 Burlington, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Burlington, North Carolina

If you’ve become aware of deceitful activity that may involve Medicare or Medicaid in Burlington, North Carolina, you need the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is completely examined and submitted accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, hence increasing the chance for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not try 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 lawyers to assist in your fight against Medicare and Medicaid scams. We will examine your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam suit to report the fraud and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can help.

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