Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Memphis, Tennessee

Medicaid and Medicare fraud cost Tennessee taxpayers billions of dollars each year. While the majority of medical service providers and drug companies are ethical and work within the legal channels, some don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit suits on behalf of the federal or state government to help report this type of fraud.

The state and federal governments place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, it counts on regular folks in Tennessee to come forward to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Memphis, Tennessee

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. We know that stepping forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Memphis, Tennessee

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

 

The Tennessee False Claims Act and the Tennessee Medicaid False Claims Act both permit whistleblowers who discover deceptive activity against the state government to file qui tam lawsuits and collect a percentage of the recovery.

 

Under the Tennessee False Claims Act, a whistleblower might be granted between 25 and 33 percent of the funds recovered by the state if they participate in the lawsuit. If the state declines to join the lawsuit, the whistleblower might collect between 35 and 50 percent of the funds recovered.

 

Under the Tennessee Medicaid False Claims Act, a whistleblower may be awarded in between 15 and 25 percent of the recovery if the state takes part in the claim. If the state elects not to 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 an outcome of bringing a claim or helping in the state’s recovery.

Liability of the Defendant in Memphis, Tennessee

The defendant in an effective 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 ordered 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 Memphis, Tennessee

Both acts require that a whistleblower submit their complaint within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

State federal governments do not have the resources to root out scams without the help of whistleblowers. Consequently, laws have been enacted to safeguard and reward the whistleblowers for their efforts. If you have knowledge of scams against the state of Tennessee, you may be able to pursue a whistleblower claim and get a financial reward. At the Khurana Law Firm, we represent those who courageously file qui tam claims and assist states in holding wrongdoers liable. 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 Memphis, 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 Memphis, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Memphis, Tennessee

If you’ve become aware of potential fraud involving Medicare or Medicaid in Memphis, Tennessee, you need the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is completely investigated and submitted accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the federal or state government will step in, hence increasing the possibility for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not 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 assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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