Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Avondale, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars annually. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to file claims on behalf of the government to help report this sort of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Avondale, Arizona

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is hard and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Avondale, Arizona

While Arizona does not have a state False Claims Act, a person who has knowledge of Medicaid scams in the state of Arizona may pursue a whistleblower claim under the federal False Claims Act. The Act empowers private individuals to come forward with a civil suit on behalf of the government to hold those who perpetrate scams liable.

 

The government depends on individuals and employees to come forward when they learn of deceitful Medicaid activity. The federal False Claims Act enables a worker or a private citizen to bring forth a qui tam lawsuit on behalf of the government and enables them to get a reward for their efforts.

 

Under the federal Act, a private individual or employee who brings a whistleblower claim on behalf of the government may be entitled to a financial reward of in between 15 percent and 25 percent of the recovery in the suit. If the government elects not to intervene, the whistleblower may get a benefit of between 25 and 30 percent of the funds recovered.

 

In addition to a reward, employees in Arizona are safeguarded against retaliation, discharge, or discrimination by a company since of a whistleblower lawsuit.

Liability of the Defendant in Avondale, Arizona

In a whistleblower suit under the False Claims Act, the offender may be responsible for approximately triple the harm to the government as well as extra charges of $5,500 to $11,000 per infraction.

Statute of Limitations in Arizona

Under the federal False Claims Act, a whistleblower must file a complaint within 10 years of the offense.

Working With an Experienced Whistleblower Attorney

Those who have evidence or relevant information regarding deceptive Medicaid activity in Avondale, Arizona ought to understand their rights and what to anticipate if they are thinking about a whistleblower lawsuit. Getting experienced legal assistance from a whistleblower attorney is important. At Khurana Law Firm, P.C., we will assist you in understanding the complaint process in addition to your rights and options under the False Claims Act. Contact us for a confidential, no-cost consultation in order 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 Avondale, Arizona, 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 Avondale, Arizona,  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 ATTORNEY; We are proud to represent healthcare workers in Avondale, Arizona

If you’ve become aware of potential fraud involving Medicare or Medicaid in Avondale, Arizona, you require the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is a complex 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 lawyers to assist in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam suit to report the scams and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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