Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Gilbert, Arizona

Medicare and Medicaid fraud cost Arizona taxpayers billions of dollars every year. While most medical providers and drug companies are ethical and work within the system, there are those who don’t. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower attorneys can help healthcare professionals to submit lawsuits on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Gilbert, Arizona

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. understand that stepping forward is not simple and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work tirelessly with you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Gilbert, Arizona

While Arizona does not have a state False Claims Act, a person who knows 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 claim on behalf of the government to hold those who perpetrate fraud responsible.

 

The government depends on individuals 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 individual to bring forth a qui tam claim 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 might be entitled to a reward of in between 15 percent and 25 percent of the recovery in the lawsuit. If the government elects not to intervene, the whistleblower may receive a benefit of 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 because of a whistleblower suit.

Liability of the Defendant in Gilbert, Arizona

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

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have proof or information concerning deceitful Medicaid activity in Gilbert, Arizona must understand their rights and what to anticipate if they are thinking about a whistleblower claim. Getting experienced legal assistance from a whistleblower attorney is necessary. At Khurana Law Firm, P.C., we will 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 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 Gilbert, 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 Gilbert, 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 ATTORNEY; We are proud to represent healthcare workers in Gilbert, Arizona

When you become aware of fraud as it concerns Medicare or Medicaid in Gilbert, Arizona, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is completely investigated and submitted accurately and quickly. By dealing with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid scams. We will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam suit to help report the scams and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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