Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Gastonia, North Carolina

Medicaid and Medicare fraud cost North Carolina taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are ethical and work within the system, there are those who do not. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the government to report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the industry. understand that stepping forward is challenging and lots of things may 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, and work tirelessly with you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Gastonia, North Carolina

Those who perpetrate scams against the Medicaid program in North Carolina cost countless dollars to the taxpayer. The State relies on whistleblowers to help combat fraud in the Medicaid health care system. These people can step forward under the North Carolina False Claims Act.

 

The North Carolina False Claims Act enables 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 fraud responsible for losses and damages to the State. It also enables whistleblowers to be rewarded for their heroic efforts.

 

A successful whistleblower litigation might entitle the individual to awards of in between 15 and 25 percent of the state’s recovery should they intervene in the suit. If the whistleblower chooses to prosecute separately, she or he may be awarded between 25 and 30 percent of the healing. These rewards will be contingent on the whistleblower’s involvement in the deceptive activity or the source of the details.

 

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

Liability of the Defendant in Gastonia, North Carolina

The offender in a whistleblower suit in North Carolina may be ordered to pay up to three times the actual 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 submitting a whistleblower suit in the state of North Carolina should submit their complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

Because the state government relies on whistleblowers to recover lost funds due to Medicaid scams, the state will often reward those people handsomely. If you may be aware of Medicaid scams in Gastonia, 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 skilled team of whistleblower lawyers can advise and assist you. Contact us for a confidential, no-cost assessment 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 Gastonia, 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 Gastonia, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Gastonia, North Carolina

When you become aware of deceptive activity involving Medicaid or Medicare in Gastonia, North Carolina, you may need the advice of an experienced whistleblower attorney, someone who can make sure that your claim is completely investigated and submitted accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will intervene, hence increasing the chance for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  do not 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 legal representatives to help in your fight against Medicare and Medicaid scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam suit to help report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can help.

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