Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Tempe, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars each year. Although most medical providers and drug companies are honest and work within the legal channels, some do not. When fraud happens, everybody can lose. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to file lawsuits on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Tempe, Arizona

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is challenging and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Tempe, Arizona

While Arizona does not have a state False Claims Act, an individual who has knowledge of Medicaid fraud 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 claim on behalf of the government to hold those who commit fraud responsible.

 

The government relies on individuals and employees to come forward when they become aware of fraudulent Medicaid activity. The federal False Claims Act permits a staff member or a private citizen to bring a qui tam lawsuit 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 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 step in, the whistleblower might get a reward of in between 25 and 30 percent of the funds recovered.

 

In addition to a reward, employees in Arizona are safeguarded from retaliation, discharge, or discrimination by a company since of a whistleblower suit.

Liability of the Defendant in Tempe, Arizona

In a whistleblower suit under the False Claims Act, the accused may be accountable for as much as triple the damage to the federal government in addition to additional charges of $5,500 to $11,000 per infraction.

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

Healthcare workers who have evidence or information involving deceitful Medicaid activity in Tempe, Arizona should understand their rights and what to expect if they are considering a whistleblower claim. Getting knowledgeable legal assistance from a whistleblower lawyer is necessary. At Khurana Law Firm, P.C., we can help you understand the procedure as well as 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 Tempe, 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 Tempe, 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 LAWYER; We are proud to represent healthcare workers in Tempe, Arizona

When you become aware of fraud as it concerns Medicare or Medicaid in Tempe, Arizona, you need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is fully investigated and submitted accurately and quickly. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud 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 practical experience as national qui tam attorneys to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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