Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Pine Bluff, Arkansas

Medicare and Medicaid fraud cost Arkansas taxpayers billions of dollars each year. Although most medical companies and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file claims on behalf of the federal or state government to report these kinds of scams.

The federal and state government put a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it counts on every day people in Arkansas to come forward and to report fraud. People like you.

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

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 fraud in the industry. understand that coming forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Pine Bluff, Arkansas

In the state of Arkansas, whistleblowers who knot of Medicaid scams against the state might receive a benefit for offering details resulting in the recovery of funds.

 

2 state laws make it possible for the state government to recuperate funds 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 enables a civil claim in order to recuperate money that was lost. The Arkansas Whistleblower Protection Act offers staff members safeguard from an employer’s retaliation should they choose to come forward with info against the company in a government inquiry.

 

Private individuals and healthcare employees might likewise be able to submit a whistleblower claim against individuals and entities who take part in deceitful 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 financial recovery if the government takes part in the litigation. If the government selects not to step in, the whistleblower may receive a reward of in between 25 and 30 percent of the financial recovery should they pursue the lawsuit on their own.

 

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

Liability of the Defendant in Pine Bluff, Arkansas

In a qui tam claim under the False Claims Act, the accused might be responsible for approximately three times the harm to the government. They also might be responsible for extra charges 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 10 years of the violation.

Working With an Experienced Whistleblower Attorney

Those who know of deceitful Medicaid activity in Pine Bluff, Arkansas and may be considering coming forward with a qui tam claim should be aware of 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 Pine Bluff, 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 Pine Bluff, 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 Pine Bluff, Arkansas

If you’ve become aware of potential fraud that may involve Medicare or Medicaid in Pine Bluff, 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 an experienced attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams 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 practical experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam lawsuit to help report the fraud and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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