Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Canton, Ohio

Medicaid and Medicare fraud cost Ohio taxpayers billions of dollars every year. While many medical service providers and drug companies are ethical and work within the system, some do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit lawsuits on behalf of the government to help report this type of fraud.

The state and federal governments place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts on every day people in Ohio to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Canton, Ohio

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

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Canton, Ohio

The False Claims Act is an important statute that allows the government to combat fraud and abuse in health care programs throughout the nation. In Ohio, the government has lost millions to deceptive Medicaid activity. Regrettably, state and federal governments have limited resources when it pertains to tackling scams against government health care programs.

 

Consequently, the government has become reliant on private individuals and health care staff members to come forward when they know about fraudulent activity. Whistleblower laws enable an employee or a private individual to come forward with a civil lawsuit on behalf of the government, against the individual or entity engaged in fraudulent activity.

 

The federal False Claims Act enables private citizens to come forward and be rewarded for their efforts. Under the federal act, any private individual or healthcare employee who brings a whistleblower claim on behalf of the government is entitled to a reward of between 15 percent and 25 percent of the recovery in the lawsuit. If the government chooses not to get in the lawsuit, the whistleblower might receive a reward of between 25 and 30 percent of the financial recovery.

 

In addition to a benefit, whistleblower laws offer an additional protection to whistleblowers in order to avoid retaliation, discharge, or discrimination by an employer.

Liability of the Defendant in Canton, Ohio

In a qui tam suit, the offender may be accountable for as much as three times the damage to the state in addition to additional penalties of approximately $5,500 to $11,000 for each different infraction.

Statute of Limitations in Canton, Ohio

Under the federal False Claims Act, a whistleblower claim is limited by a statute of limitations as follows:

 

A qui tam lawsuit must be started within three years of the date of discovering the deceptive activity, or within 6 years after the activity occurred, whichever occurred later, however not more than 10 years after the activity occurred.

Dealing with an Experienced Whistleblower Attorney

If you know of deceptive activity concerning Ohio’s Medicaid program in Canton, Ohio, you must understand your rights and what you may expect from a qui tam suit. In order to understand your rights, getting guidance from a knowledgeable whistleblower lawyer is necessary. At Khurana Law Firm, P.C., our knowledgeable team of whistleblower lawyers will help you understand how a qui tam lawsuit works as well as your rights and alternatives. Contact us for a personal, 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 Canton, Ohio, 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 Canton, Ohio,  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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Report Medical fraud
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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Canton, Ohio

When you become aware of deceptive activity as it concerns Medicaid or Medicare in Canton, Ohio, you require the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t 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 attorneys to help in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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