Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Lake Havasu City, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars annually. Although most medical service providers and drug companies are honest and work within the system, some don’t. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the government to report these kinds of scams.

The federal and state governments place a lot of trust in pharmaceutical and medical 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.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Lake Havasu City, Arizona

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. We know that coming forward is difficult and many things might 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 examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Lake Havasu City, Arizona

While Arizona does not have a state False Claims Act, an individual who knows of Medicaid fraud 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 carry out scams responsible.

 

The government relies on private individuals and healthcare workers to come forward when they are aware of deceitful Medicaid activity. The federal False Claims Act permits a staff member or individual to bring forth a qui tam suit on behalf of the government and allows them to get 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 reward of in between 15 percent and 25 percent of the financial recovery in the suit. If the government selects not to step in, the whistleblower might receive a benefit of between 25 and 30 percent of the funds recovered.

 

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

Liability of the Defendant in Lake Havasu City, Arizona

In a whistleblower suit under the False Claims Act, the accused may be responsible for approximately triple the harm to the federal government along with 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 offense.

Working With an Experienced Whistleblower Attorney

Those who have evidence or information regarding fraudulent Medicaid activity in Lake Havasu City, Arizona should understand their rights and what to expect if they are considering a whistleblower suit. Getting knowledgeable legal assistance from a whistleblower lawyer is essential. 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 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 Lake Havasu City, 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 Lake Havasu City, 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 LAWYER; We are proud to represent healthcare workers in Lake Havasu City, Arizona

If you’ve become aware of potential fraud as it concerns Medicaid or Medicare in Lake Havasu City, Arizona, you require the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is totally examined and submitted accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, thus increasing your chances for a reward. Reporting Medicaid and Medicare scams 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 experience as national qui tam legal representatives to assist in your battle against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam lawsuit to report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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