Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Catalina Foothills, Arizona

Medicare and Medicaid fraud cost Arizona taxpayers billions of dollars annually. While the majority of medical providers and drug companies are honest and work within the system, some do not. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit lawsuits on behalf of the federal or state government to help report this sort of fraud.

The state and federal government put a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on regular folks in Arizona to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Catalina Foothills, Arizona

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. understand that stepping forward is not simple 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 extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Catalina Foothills, 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 citizens to come forward with a civil suit on behalf of the government to hold those who perpetrate fraud accountable.

 

The government counts on citizens and employees to come forward when they are aware of deceitful Medicaid activity. The federal False Claims Act permits a staff member or individual to bring a qui tam claim on behalf of the government and allows them to receive a financial 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 between 15 percent and 25 percent of the financial recovery in the lawsuit. If the government elects not to step in, the whistleblower may get a benefit of in between 25 and 30 percent of the funds recovered.

 

In addition to a reward, staff members in Arizona are protected from retaliation, discharge, or discrimination by a company due to the fact that of a whistleblower claim.

Liability of the Defendant in Catalina Foothills, Arizona

In a whistleblower lawsuit under the False Claims Act, the offender may be responsible for as much as triple the damage to the federal government along with additional penalties of $5,500 to $11,000 per offense.

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have evidence or information concerning fraudulent Medicaid activity in Catalina Foothills, Arizona ought to understand their rights and what to expect if they are considering a whistleblower suit. Getting knowledgeable legal assistance from a whistleblower attorney is necessary. At Khurana Law Firm, P.C., we can assist you in understanding the procedure in addition to your rights and alternatives under the False Claims Act. Contact us for a completely confidential, no-cost consultation 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 Catalina Foothills, 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 Catalina Foothills, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Catalina Foothills, Arizona

If you’ve become aware of potential fraud that may involve Medicare or Medicaid in Catalina Foothills, Arizona, you require the advice of a skilled whistleblower lawyer, someone who can make sure that your claim is totally examined and filed accurately and promptly. By working with an experienced lawyer you are increasing the chance that the government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam lawyers to help in your fight against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam claim to help report the scams and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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