Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Collierville, Tennessee

Medicaid and Medicare fraud cost Tennessee taxpayers billions of dollars each year. Although the majority of medical companies and drug companies are honest and work within the system, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers can help people who work in the healthcare system to file suits on behalf of the government to report these kinds of scams.

The state and federal government place a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on private citizens in Tennessee to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Collierville, Tennessee

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. We know that coming forward is not easy and numerous things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work relentlessly with both 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 Collierville, Tennessee

When a private citizen knows of scams being committed against the Tennessee state government, they have the advantage of two laws in order to produce a whistleblower complaint.

 

The Tennessee False Claims Act and the Tennessee Medicaid False Claims Act both allow whistleblowers who are aware of deceptive activity against the state government to file qui tam claims and collect a percentage of the recovery.

 

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

 

Under the Tennessee Medicaid False Claims Act, a whistleblower might be granted between 15 and 25 percent of the recovery if the state joins the claim. If the state declines to join and the individual pursues a successful 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 suit or helping in the state’s recovery.

Liability of the Defendant in Collierville, Tennessee

The suspect in a successful Tennessee False Claim Act claim may be required to pay up to triple the damages to the state in addition to fines of in between $2,500 and $10,000 per offense.

 

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

Statute of Limitations in Collierville, Tennessee

Either act requires that a whistleblower file their complaint within 10 years of the offense.

Working With an Experienced Whistleblower Attorney

State federal governments don’t have the resources to root out fraud without the support of whistleblowers. As a result, laws have been enacted to protect and reward them for their efforts. If you have become aware of fraud against the state of Tennessee, you might have the right to pursue a whistleblower claim and get a financial reward. At the Khurana Law Firm, we represent those who courageously file qui tam lawsuits and help states in holding wrongdoers accountable. Contact us today to arrange a no-cost consultation 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 Collierville, 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 Collierville, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Collierville, Tennessee

If you’ve become aware of fraud that may concern Medicare or Medicaid in Collierville, Tennessee, you require the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and quickly. By working with an experienced attorney you are increasing the chance that the government will step in, thus increasing the chance for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t attempt 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 assist in your fight against Medicaid and Medicare fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we may represent you in a qui tam suit to report the fraud and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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