Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to file claims on behalf of the government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Surprise, Arizona

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the market. understand that coming forward is hard and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Surprise, Arizona

While Arizona does not have a state False Claims Act, a person who is aware 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 carry out fraud accountable.

 

The government relies on citizens and employees to come forward when they are aware of deceitful Medicaid activity. The federal False Claims Act allows a a healthcare employee or a private citizen to bring forth a qui tam lawsuit 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 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 receive a benefit of between 25 and 30 percent of the recovery.

 

In addition to a reward, employees in Arizona are protected against retaliation, discharge, or discrimination by an employer because of a whistleblower claim.

Liability of the Defendant in Surprise, Arizona

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

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have evidence or relevant information involving deceitful Medicaid activity in Surprise, Arizona should understand their rights and what to anticipate if they are considering a whistleblower lawsuit. Getting skilled legal guidance 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 choices 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 Surprise, 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 Surprise, 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 Surprise, Arizona

If you’ve become aware of fraud as it concerns Medicare or Medicaid in Surprise, Arizona, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam lawyers to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam claim to report the fraud and allow you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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