Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Bartlett, Tennessee

Medicare and Medicaid fraud cost Tennessee taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers can help people who work in the healthcare system to submit suits on behalf of the government to report this type of fraud.

The state and federal government place a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it depends on private citizens in Tennessee to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Bartlett, Tennessee

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that coming forward is hard and numerous things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate 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 Bartlett, Tennessee

When a private individual learns of of scams being perpetrated against the Tennessee state government, they have the benefit of 2 laws in order to produce a whistleblower complaint.

 

The Tennessee False Claims Act and the Tennessee Medicaid False Claims Act both enable whistleblowers who learn of deceitful activity against the state government to file qui tam suits and collect a percentage of the funds recovered.

 

Under the Tennessee False Claims Act, a whistleblower may be granted in between 25 and 33 percent of the funds recovered by the state if they join the suit. If the state elects not to participate in the claim, the whistleblower may collect in between 35 and 50 percent of the recovery.

 

Under the Tennessee Medicaid False Claims Act, a whistleblower might be granted in between 15 and 25 percent of the funds recovered if the state participates in the suit. If the state declines to take part in and the private individual pursues an effective case, the whistleblower might be granted in between 25 and 30 percent of the recovery.

 

A whistleblower is likewise afforded protection from any employer retaliation as a result of bringing a claim or assisting in the state’s recovery.

Liability of the Defendant in Bartlett, Tennessee

The accused in an effective Tennessee False Claim Act claim may be ordered to pay up to triple the damages to the state in addition to fines of between $2,500 and $10,000 per violation.

 

The suspect in a successful Tennessee Medicaid False Claims Act might be ordered to pay up to triple the damages to the state in addition to fines of in between $5,000 and $25,000 per infraction.

Statute of Limitations in Bartlett, Tennessee

Either act requires that a whistleblower submit their complaint within ten years of the violation.

Working With an Experienced Whistleblower Lawyer

State federal governments don’t have the resources to root out scams without the help of whistleblowers. Consequently, laws have been enacted to safeguard and reward them for their efforts. If you have become aware of scams against the state of Tennessee, you might have the right to pursue a whistleblower suit and obtain a monetary reward. At the Khurana Law Firm, we represent those who courageously file qui tam suits and assist states in holding wrongdoers responsible. Contact us today to schedule a no-cost consultation in order to understand your rights and protections as a whistleblower.

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 Bartlett, Tennessee, 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 Bartlett, Tennessee,  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 LAWYER; We are proud to represent healthcare workers in Bartlett, Tennessee

When you become aware of fraud that may involve Medicare or Medicaid in Bartlett, Tennessee, you may need the advice of a skilled whistleblower attorney, someone who can make sure that your claim is fully examined and filed accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare fraud. We will review your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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