Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Goodyear, Arizona

Medicare and Medicaid fraud cost Arizona taxpayers billions of dollars annually. Although many medical providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to submit suits on behalf of the government to help report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Goodyear, Arizona

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the industry. understand that coming forward is not easy and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Goodyear, Arizona

While Arizona does not have a state False Claims Act, an individual 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 individuals to come forward with a civil lawsuit on behalf of the government to hold those who perpetrate fraud liable.

 

The government counts on individuals and employees to come forward when they are aware of fraudulent Medicaid activity. The federal False Claims Act enables a worker or a private citizen to bring 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 chooses not to intervene, the whistleblower might get a benefit of between 25 and 30 percent of the recovery.

 

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

Liability of the Defendant in Goodyear, Arizona

In a whistleblower suit under the False Claims Act, the defendant may be accountable for approximately triple the harm to the federal government as well as extra 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 offense.

Working With an Experienced Whistleblower Attorney

Healthcare workers who have proof or relevant information regarding fraudulent Medicaid activity in Goodyear, Arizona should understand their rights and what to anticipate if they are considering a whistleblower suit. Getting experienced legal guidance from a whistleblower lawyer is essential. At Khurana Law Firm, P.C., we can assist you in understanding the complaint process as well as 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 Goodyear, 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 Goodyear, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Goodyear, Arizona

When you become aware of fraudulent activity that may concern Medicare or Medicaid in Goodyear, Arizona, you may need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and quickly. By working with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing the chance for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to help in your fight against Medicaid and Medicare fraud. We will review your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam claim to help report the fraud and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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