Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Fayetteville, Arkansas

Medicare and Medicaid fraud cost Arkansas taxpayers billions of dollars each year. While the majority of medical companies and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everybody loses. Medicare and Medicaid whistleblower attorneys help healthcare workers to file claims on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Fayetteville, Arkansas

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

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently prepare your case, for court, and work relentlessly with you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Fayetteville, Arkansas

In the state of Arkansas, whistleblowers who knot of Medicaid scams against the state may receive a benefit for providing details causing the recovery of funds.

 

Two state laws make it possible for the state government to recuperate funds lost to Medicaid fraud. The Arkansas Medicaid Fraud Act holds people and entities criminally liable for deceptive activities. The Arkansas Medicaid Fraud False Claims Act enables a civil claim in order to recover funds that were lost. The Arkansas Whistleblower Protection Act offers workers protection from a company’s retaliation should they choose to come forward with details against the employer in a government inquiry.

 

Private individuals and healthcare employees might likewise have the ability to submit a whistleblower claim against individuals and entities who take part in fraudulent Medicaid activity under the federal False Claims Act. Under the federal Act, a whistleblower may be awarded a financial reward of in between 15 percent and 25 percent of the recovery if the government participates in the litigation. If the government selects not to intervene, the whistleblower may receive a reward of in between 25 and 30 percent of the financial recovery should they pursue the claim by themselves.

 

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

Liability of the Defendant in Fayetteville, Arkansas

In a qui tam lawsuit under the False Claims Act, the offender may be liable for up to 3 times the damage to the government. They likewise might 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 must file a complaint within 10 years of the violation.

Collaborating with an Experienced Whistleblower Lawyer

Those who know of deceptive Medicaid activity in Fayetteville, Arkansas and may be considering stepping forward with a qui tam lawsuit should understand the procedure and their rights and protections under the law. Having the assistance of a whistleblower lawyer is important. At Khurana Law Firm, P.C., we can help. 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 Fayetteville, Arkansas, 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 Fayetteville, Arkansas,  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 ATTORNEY; We are proud to represent healthcare workers in Fayetteville, Arkansas

If you’ve become aware of potential fraud that may involve Medicaid or Medicare in Fayetteville, Arkansas, you require the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is completely investigated and filed accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, hence increasing the opportunity for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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