Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Glendale, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars annually. Although many medical service providers and drug companies are ethical and work within the system, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare workers to submit lawsuits on behalf of the federal or state government to report this sort of fraud.

The federal and state governments place a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, it counts on regular folks in Arizona to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Glendale, Arizona

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. We know that coming forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Glendale, Arizona

While Arizona does not have a state False Claims Act, an individual who is aware 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 lawsuit on behalf of the government to hold those who perpetrate scams liable.

 

The government depends on individuals and healthcare workers to come forward when they are aware of fraudulent Medicaid activity. The federal False Claims Act enables a a healthcare employee or a private citizen to bring forth a qui tam suit on behalf of the government and enables them to receive a reward for their efforts.

 

Under the federal Act, a private individual or healthcare worker 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 recovery in the suit. If the government selects not to intervene, the whistleblower might receive a benefit of in between 25 and 30 percent of the funds recovered.

 

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

Liability of the Defendant in Glendale, Arizona

In a whistleblower suit under the False Claims Act, the accused might be accountable for up to triple the harm to the federal government in addition to additional penalties of $5,500 to $11,000 per infraction.

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have proof or information involving fraudulent Medicaid activity in Glendale, Arizona should understand their rights and what to expect if they are thinking about a whistleblower lawsuit. Getting knowledgeable legal assistance from a whistleblower lawyer is important. At Khurana Law Firm, P.C., we can assist you in understanding the complaint process along with your rights and alternatives under the False Claims Act. Contact us for a 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 Glendale, 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 Glendale, 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 Glendale, Arizona

If you’ve become aware of deceitful activity as it concerns Medicare or Medicaid in Glendale, Arizona, you require the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is completely examined and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, thus increasing the opportunity for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not attempt 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 help in your fight against Medicare and Medicaid fraud. We will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam suit to help report the scams and enable you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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