Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Arkansas taxpayers billions of dollars annually. While the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to submit suits on behalf of the government to help report this type of fraud.

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

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Springdale, 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. We know 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 substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Springdale, Arkansas

In the state of Arkansas, whistleblowers who knot of Medicaid scams against the state might receive a benefit for supplying information causing 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 deceitful activities. The Arkansas Medicaid Fraud False Claims Act enables a civil claim in order to recover money that was lost. The Arkansas Whistleblower Protection Act offers staff members protection from an employer’s retaliation should they choose to come forward with info against the employer in a government inquiry.

 

Private citizens and workers might likewise have the ability to submit a whistleblower claim against people and entities who participate in deceptive Medicaid activity under the federal False Claims Act. Under the federal Act, a whistleblower may be granted a reward of between 15 percent and 25 percent of the financial recovery if the government takes part in the lawsuit. If the government picks not to intervene, the whistleblower may receive a financial reward of in between 25 and 30 percent of the recovery should they pursue the lawsuit by themselves.

 

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

Liability of the Defendant in Springdale, Arkansas

In a qui tam lawsuit under the False Claims Act, the defendant might be responsible for as much as three times the damage to the government. They also may be liable 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 submit a complaint within 10 years of the infraction.

Collaborating with an Experienced Whistleblower Lawyer

Those who know of fraudulent Medicaid activity in Springdale, Arkansas and might be thinking about stepping forward with a qui tam suit should understand the procedure and their rights and safeguards 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 confidential, no-cost assessment 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 Springdale, 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 Springdale, Arkansas,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Springdale, Arkansas

When you become aware of potential fraud that may involve Medicaid or Medicare in Springdale, Arkansas, you may need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  do not 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 attorneys to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can help.

Service areas