Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Arkansas

Medicaid and Medicare fraud cost Arkansas taxpayers billions of dollars every year. Although many medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments place a a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government depends on regular folks in Arkansas to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Arkansas.

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping forward is hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Arkansas

In the state of Arkansas, whistleblowers who have knowledge of Medicaid fraud against the state may receive a reward for providing information leading to the recovery of funds. 

 

Two state laws enable the state government to recover money lost to Medicaid fraud. The Arkansas Medicaid Fraud Act holds individuals and entities criminally accountable for fraudulent activities. The Arkansas Medicaid Fraud False Claims Act allows for a civil claim in order to recover money that was lost. The Arkansas Whistleblower Protection Act offers employees protection from an employer’s retaliation should they choose to come forward with information against the employer in a government investigation. 

 

Private citizens and employees may also be able to file a whistleblower claim against individuals and entities who engage in fraudulent Medicaid activity under the federal False Claims Act. Under the federal Act, a whistleblower can be awarded a reward of between 15 percent and 25 percent of the recovery if the government takes part in the suit. If the government chooses not to intervene, the whistleblower may receive a reward of between 25 and 30 percent of the recovery should they pursue the lawsuit on their own. 

 

In addition to a reward, the federal Act also affords protection against employer retaliation.

Liability of the Defendant in Arkansas

In a qui tam lawsuit under the False Claims Act, the defendant may be liable for up to three times the harm to the government. They also may be liable for additional penalties of $5,500 to $11,000 per violation.

Statute of Limitations in Arkansas

Under the federal False Claims Act, a whistleblower is required to file a complaint within ten years of the violation.

Working With an Experienced Whistleblower Attorney

Those who have knowledge of fraudulent Medicaid activity in Arkansas and may be considering coming forward with a qui tam lawsuit should understand the procedure and their rights and protections under the law. Having the assistance of a whistleblower attorney is critical. At Khurana Law Firm, P.C., we can help. Contact us for a 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 can report it 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. To report Medicare fraud, 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

If you’ve become aware of potential fraud that may involve Medicaid or Medicare, you need the advice of a knowledgeable whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By working with an experienced lawyer you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complex 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 fight against Medicaid and Medicare fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam suit to report the scams and allow you to gather a financial benefit. All whistleblower cases are 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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