Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Peoria, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to submit claims on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts 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 employees in Peoria, Arizona

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand 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 .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work relentlessly with you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Peoria, 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 claim on behalf of the government to hold those who commit fraud liable.

 

The government counts on citizens and healthcare workers to come forward when they learn of fraudulent Medicaid activity. The federal False Claims Act enables an employee or individual to bring forth a qui tam suit on behalf of the government and enables them to get a financial 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 financial reward of in between 15 percent and 25 percent of the financial recovery in the suit. If the government selects not to intervene, the whistleblower may receive a reward of between 25 and 30 percent of the recovery.

 

In addition to a reward, workers in Arizona are protected against retaliation, discharge, or discrimination by an employer since of a whistleblower lawsuit.

Liability of the Defendant in Peoria, Arizona

In a whistleblower claim under the False Claims Act, the defendant may be accountable for approximately triple the damage 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 must submit a complaint within 10 years of the offense.

Working With an Experienced Whistleblower Attorney

Healthcare workers who have proof or relevant information concerning deceptive Medicaid activity in Peoria, Arizona must understand their rights and what to anticipate if they are thinking about a whistleblower lawsuit. Getting knowledgeable legal assistance from a whistleblower attorney is essential. At Khurana Law Firm, P.C., we will assist you in understanding the procedure along with your rights and options 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 Peoria, 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 Peoria, 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 Peoria, Arizona

If you’ve become aware of potential fraud involving Medicare or Medicaid in Peoria, Arizona, you may need the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and submitted accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, thus increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t attempt 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 legal representatives to assist in your battle against Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam lawsuit to help report the scams and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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