Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Fort Smith, Arkansas

Medicaid and Medicare fraud cost Arkansas taxpayers billions of dollars annually. While the majority of medical companies and drug companies are ethical and work within the system, some do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers can help healthcare workers to submit suits on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Fort Smith, Arkansas

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and many 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, diligently prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Fort Smith, Arkansas

In the state of Arkansas, whistleblowers who knot of Medicaid fraud against the state might get a benefit for providing information resulting in the recovery of funds.

 

Two state laws allow the state government to recuperate money lost to Medicaid scams. 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 healthcare workers safeguard from a company’s retaliation should they choose to come forward with information against the employer in a government investigation.

 

Private citizens and staff members may likewise be able to submit a whistleblower claim against people and entities who engage in deceptive Medicaid activity under the federal False Claims Act. Under the federal Act, a whistleblower can be awarded a financial reward of in between 15 percent and 25 percent of the recovery if the government participates in the suit. If the government elects not to intervene, the whistleblower might receive a financial reward of in between 25 and 30 percent of the recovery should they pursue the suit by themselves.

 

In addition to a financial reward, the federal Act likewise affords protection against company retaliation.

Liability of the Defendant in Fort Smith, Arkansas

In a qui tam suit under the False Claims Act, the offender might be responsible for approximately 3 times the damage to the government. They also might be responsible for extra charges of $5,500 to $11,000 per offense.

Statute of Limitations in Arkansas

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

Collaborating with an Experienced Whistleblower Attorney

Those who know of fraudulent Medicaid activity in Fort Smith, Arkansas and may be considering coming forward with a qui tam claim should understand the procedure and their rights and safeguards under the law. Having the help of a whistleblower attorney is important. 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 are a healthcare worker in Fort Smith, 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 Fort Smith, 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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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Fort Smith, Arkansas

If you’ve become aware of deceitful activity involving Medicare or Medicaid in Fort Smith, Arkansas, you may need the guidance of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and immediately. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  do not 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 assist in your fight against Medicaid and Medicare fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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