Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost North Carolina taxpayers billions of dollars each year. Although many medical service providers and drug companies are honest and work within the system, there are those who do not. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys help healthcare workers to file suits on behalf of the government to help report this sort of fraud.

The federal and state government place a lot 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 scams. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is not easy and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Jacksonville, North Carolina

Those who commit fraud against the Medicaid program in North Carolina cost millions of dollars to taxpayers. The State counts on whistleblowers to assist fight scams in the Medicaid health care system. These individuals 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 deceptive activity. The Act makes anybody who perpetrates Medicaid scams responsible for losses and damages to the State. It additionally enables whistleblowers to be rewarded for their brave efforts.

 

An effective whistleblower litigation might entitle the person to awards of between 15 and 25 percent of the state’s recovery should they intervene in the lawsuit. If the whistleblower elects to litigate individually, he or she might be awarded in between 25 and 30 percent of the recovery. 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 likewise safeguarded from any company retaliation that may result from the reporting.

Liability of the Defendant in Jacksonville, North Carolina

The defendant in a whistleblower suit in North Carolina might be ordered to pay up to three 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

People filing a whistleblower claim in the state of North Carolina must submit their grievance within 10 years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

Since the state government relies on whistleblowers to recuperate lost funds due to Medicaid scams, they will typically reward those individuals handsomely. If you may be aware of Medicaid fraud in Jacksonville, North Carolina and elect 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 attorneys can advise and direct you. Contact us for a completely confidential, no-cost consultation 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 Jacksonville, 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 Jacksonville, 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 ATTORNEY; We are proud to represent healthcare workers in Jacksonville, North Carolina

If you’ve become aware of fraudulent activity involving Medicaid or Medicare in Jacksonville, North Carolina, you require the advice of an experienced whistleblower attorney, someone who can ensure that your claim is completely examined and submitted accurately and quickly. By working with a knowledgeable attorney you are increasing the chance that the government will step in, hence increasing the possibility for a reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam claim to help report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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