Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Jonesboro, Arkansas

Medicare and Medicaid fraud cost Arkansas taxpayers billions of dollars every year. Although most medical providers and drug companies are honest and work within the system, some don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to file lawsuits on behalf of the federal or state government to report this sort of fraud.

The federal and state government put a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on every day people in Arkansas to come forward to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Jonesboro, Arkansas

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

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

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Whistleblower Laws in Jonesboro, Arkansas

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

 

2 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 deceptive activities. The Arkansas Medicaid Fraud False Claims Act allows for a civil claim in order to recuperate funds that were lost. The Arkansas Whistleblower Protection Act gives workers protection from an employer’s retaliation should they choose to come forward with details against the employer in a government investigation.

 

Private citizens and staff members may also have the ability to submit a whistleblower claim against people and entities who engage in deceitful 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 financial recovery if the government participates in the suit. If the government picks not to intervene, the whistleblower might receive a reward of in between 25 and 30 percent of the recovery should they pursue the suit by themselves.

 

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

Liability of the Defendant in Jonesboro, Arkansas

In a qui tam claim under the False Claims Act, the defendant might be liable for as much as 3 times the damage to the government. They likewise might be accountable for extra 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 submit a complaint within 10 years of the offense.

Collaborating with an Experienced Whistleblower Attorney

Those who have knowledge of deceitful Medicaid activity in Jonesboro, Arkansas and might be thinking about coming forward with a qui tam suit should understand the procedure and their rights and safeguards under the law. Having the support 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 are a healthcare worker in Jonesboro, 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 Jonesboro, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Jonesboro, Arkansas

When you become aware of potential fraud that may involve Medicare or Medicaid in Jonesboro, Arkansas, you require the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing the chance for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not attempt to do this alone, we are here to help.

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

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