Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost North Carolina taxpayers billions of dollars each year. Although most medical providers and drug companies are ethical and work within the legal channels, some don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to file claims on behalf of the government to report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Concord, North Carolina

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the market. understand that coming forward is hard and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Concord, North Carolina

Those who commit scams against the Medicaid program in North Carolina cost countless dollars to taxpayers. The State depends on whistleblowers to help fight scams in the Medicaid healthcare system. These people can step forward under the North Carolina False Claims Act.

 

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

 

An effective whistleblower lawsuit might entitle the individual to awards of between 15 and 25 percent of the state’s recovery if they they intervene in the claim. If the whistleblower chooses to prosecute independently, she or he might be awarded in between 25 and 30 percent of the healing. These rewards will be contingent on the whistleblower’s involvement in the fraudulent activity or the source of the information.

 

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

Liability of the Defendant in Concord, North Carolina

The offender in a whistleblower lawsuit in North Carolina might be ordered to pay up to 3 times the actual damages to the state in addition to fines of between $5,500 and $11,000 for each violation.

Statute of Limitations in North Carolina

Individuals submitting a whistleblower claim in the state of North Carolina must file their problem within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

Because of the state government’s reliance on whistleblowers to recover lost funds due to Medicaid fraud, the state will frequently reward those individuals handsomely. If you are aware of Medicaid scams in Concord, North Carolina and elect to come forward, you should understand your rights under the law and protections under the North Carolina False Claims Act. At Khurana Law Firm, P.C., our experienced team of whistleblower attorneys can advise and assist you. Contact us for a 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 Concord, 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 Concord, 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 Concord, North Carolina

When you become aware of fraudulent activity that may involve Medicare or Medicaid in Concord, North Carolina, you need the guidance of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is completely investigated and submitted accurately and immediately. By working with an experienced lawyer you are increasing the chance that the government will step in, therefore increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t 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 help in your fight against Medicaid and Medicare fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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