Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Greensboro, North Carolina

Medicaid and Medicare fraud cost North Carolina taxpayers billions of dollars annually. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file claims on behalf of the government to report this type of fraud.

The federal and state government put a lot 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 fraud. People like you.

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the market. We know that stepping forward is not simple and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, for court, 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 Greensboro, North Carolina

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

 

The North Carolina False Claims Act enables a whistleblower to submit a civil lawsuit on behalf of the State if they know of fraudulent activity. The Act makes anyone who commits Medicaid scams accountable for losses and damages to the State. It also allows whistleblowers to be rewarded for their brave efforts.

 

An effective whistleblower lawsuit might entitle the person to awards of between 15 and 25 percent of the state’s recovery if they they intervene in the suit. If the whistleblower chooses to litigate independently, she or he may be granted 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 info.

 

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

Liability of the Defendant in Greensboro, North Carolina

The accused in a whistleblower suit in North Carolina might 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 infraction.

Statute of Limitations in North Carolina

People submitting a whistleblower lawsuit in the state of North Carolina must submit their problem within 10 years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

Because the state government relies on whistleblowers to recover lost funds due to Medicaid fraud, they will frequently reward those individuals handsomely. If you know of Medicaid scams in Greensboro, North Carolina and choose 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 direct 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 Greensboro, 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 Greensboro, 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 ATTORNEY; We are proud to represent healthcare workers in Greensboro, North Carolina

If you’ve become aware of fraud that may concern Medicaid or Medicare in Greensboro, North Carolina, you need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and without delay. By working with a skilled lawyer you are increasing the chance that the government will intervene, thus increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical 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 may have a valid claim, we may represent you in a qui tam claim to help report the fraud and allow you to collect a reward. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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