Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Apopka, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare workers to submit claims on behalf of the government to report this sort of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Apopka, Florida

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the market. understand that coming forward is not easy and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

schedule a
confidential consultation

Whistleblower Laws in Apopka, Florida

The state of Florida has enacted the Florida False Claims Act in order to permit private citizens who know of fraud against the state’s Medicaid program the option to come forward with a whistleblower legal action.

 

A whistleblower suit, or qui tam lawsuit, is a civil suit brought by a person on behalf of the state in an endeavor to collect from entities that intentionally defraud state programs for their own gain by presenting deceptive or inaccurate claims for payment, misappropriating state property, or deceptively hiding or avoiding commitments to pay the state.

 

Under the Florida False Claims Act, anybody who submits a whistleblower suit is safeguarded against employer retaliation. The whistleblower might likewise be rewarded in between 15 and 25 percent of the recovered funds if the state joins the lawsuit. If the complainant pursues the claim independently, they may be entitled to a reward of in between 25 and 30 percent of the financial recovery.

Liability of the Defendant in Florida

Under the Florida False Claims Act, an offender can be required to pay the government damages in the amount of up to three times the quantity of harm to the state. The defendant can likewise be ordered by the court to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Apopka, Florida

In the state of Florida, a plaintiff must file a whistleblower claim within 6 years of the violation. This might be extended to 10 years in certain situations.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they rely on people like you to report it. If you have knowledge of Medicaid fraud in Apopka, Florida, getting the guidance of an experienced whistleblower attorney can help you understand your rights and protections under the Florida False Claims Act. Contact Khurana Law Firm for a confidential, no-cost consultation so as 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 Apopka, Florida, 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 Apopka, Florida,  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 LAWYER; We are proud to represent healthcare workers in Apopka, Florida

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Apopka, Florida, you may need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and immediately. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam claim to report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can help.

Service areas