Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Huntersville, North Carolina

Medicare and Medicaid fraud cost North Carolina taxpayers billions of dollars every year. Although many medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to file suits on behalf of the federal or state government to report these kinds of scams.

The federal and state government place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on regular folks in North Carolina to come forward and to report scams. People like you.

Work with

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the industry. We know 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 extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, and work relentlessly with both you and the federal or state government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Huntersville, North Carolina

Those who commit scams against the Medicaid program in North Carolina cost countless dollars to taxpayers. The State counts on whistleblowers to assist 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 allows a whistleblower to submit a civil lawsuit on behalf of the State if they know of fraudulent activity. The Act makes anybody who commits Medicaid scams responsible for losses and damages to the State. It also makes it possible for whistleblowers to be rewarded for their heroic efforts.

 

An effective whistleblower suit might entitle the person to awards of between 15 and 25 percent of the state’s financial recovery if they they intervene in the lawsuit. If the whistleblower chooses to litigate independently, she or he may be granted in between 25 and 30 percent of the recovery. These rewards will be contingent on the whistleblower’s participation in the deceitful activity or the source of the details.

 

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

Liability of the Defendant in Huntersville, North Carolina

The defendant in a whistleblower claim in North Carolina may be ordered to pay up to 3 times the real damages to the state in addition to fines of between $5,500 and $11,000 for each offense.

Statute of Limitations in North Carolina

People submitting a whistleblower claim in the state of North Carolina need to file their grievance within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

Because of the state government’s dependence on whistleblowers to recuperate lost funds due to Medicaid scams, the state will typically reward those people handsomely. If you know of Medicaid fraud in Huntersville, North Carolina and choose to come forward, you should understand your rights under the law and legal 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 Huntersville, 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 Huntersville, North Carolina,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Huntersville, North Carolina

When you become aware of fraudulent activity involving Medicare or Medicaid in Huntersville, North Carolina, you need the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is completely investigated and filed accurately and immediately. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is a complicated 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 attorneys to assist in your battle against Medicare and Medicaid scams. We will evaluate your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam claim to report the scams and enable you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

Service areas