Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Chandler, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars every year. Although most medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys assist healthcare workers to submit claims on behalf of the federal or state government to help report this type of fraud.

The state and federal governments put a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government counts on private citizens in Arizona to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Chandler, Arizona

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and many things may 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 prepare your case, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Chandler, Arizona

While Arizona does not have a state False Claims Act, an individual 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 commit fraud accountable.

 

The government depends on private citizens and healthcare workers to come forward when they are aware of deceitful Medicaid activity. The federal False Claims Act allows a a healthcare employee or a private citizen to bring forth a qui tam lawsuit on behalf of the government and allows them to receive 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 financial recovery in the suit. If the government elects not to intervene, the whistleblower may receive a reward of in between 25 and 30 percent of the recovery.

 

In addition to a reward, staff members in Arizona are safeguarded against retaliation, discharge, or discrimination by an employer due to the fact that of a whistleblower suit.

Liability of the Defendant in Chandler, Arizona

In a whistleblower claim under the False Claims Act, the defendant might be liable for approximately triple the damage to the federal government in addition to additional charges of $5,500 to $11,000 per violation.

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have proof or information concerning deceptive Medicaid activity in Chandler, Arizona ought to understand their rights and what to anticipate if they are thinking about a whistleblower suit. Getting skilled legal guidance from a whistleblower attorney is necessary. At Khurana Law Firm, P.C., we can help you understand the complaint process in addition to your rights and alternatives 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 Chandler, 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 Chandler, Arizona,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Chandler, Arizona

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Chandler, Arizona, you may need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t 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. We 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 report the fraud and allow you to gather a reward. All whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can be of help.

Service areas