Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Charlotte, North Carolina

Medicaid and Medicare fraud cost North Carolina taxpayers billions of dollars every year. Although most medical providers and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to file lawsuits on behalf of the federal or state government to report this type of fraud.

The state and federal governments place a lot of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government counts on private citizens in North Carolina to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Charlotte, North Carolina

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the market. We know that coming forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Charlotte, North Carolina

Those who commit fraud against the Medicaid program in North Carolina cost countless dollars to the taxpayer. The State counts on whistleblowers to help fight fraud in the Medicaid health care system. These people can come forward under the North Carolina False Claims Act.

 

The North Carolina False Claims Act makes it possible for a whistleblower to file a civil claim on behalf of the State if they are aware of fraudulent activity. The Act makes anyone who commits Medicaid scams responsible for losses and damages to the State. It further allows whistleblowers to be rewarded for their heroic efforts.

 

An effective whistleblower litigation might entitle the person to awards of between 15 and 25 percent of the state’s recovery if they they intervene in the lawsuit. If the whistleblower elects to prosecute individually, he or she might be awarded in between 25 and 30 percent of the healing. These benefits will be contingent on the whistleblower’s involvement in the deceptive activity or the source of the info.

 

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

Liability of the Defendant in Charlotte, North Carolina

The defendant in a whistleblower suit in North Carolina might be ordered 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

Individuals submitting a whistleblower lawsuit in the state of North Carolina must submit their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

Since the state government relies on whistleblowers to recuperate lost funds due to Medicaid fraud, the state will frequently reward those people handsomely. If you are aware of Medicaid scams in Charlotte, North Carolina and choose 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 lawyers can advise and guide you. Contact us for a completely 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 Charlotte, 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 Charlotte, 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 ATTORNEY; We are proud to represent healthcare workers in Charlotte, North Carolina

When you become aware of fraud that may concern Medicare or Medicaid in Charlotte, North Carolina, you need the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is totally examined and submitted accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam lawsuit to help report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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