Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Boca Raton, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. While most medical companies and drug companies are honest and work within the system, some do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Boca Raton, 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 scams in the market. understand that stepping forward is not simple and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work tirelessly with you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Boca Raton, Florida

The state of Florida has enacted the Florida False Claims Act in order to enable people who are aware of of scams against the state’s Medicaid program the option to come forward with a whistleblower lawsuit.

 

A whistleblower lawsuit, or qui tam lawsuit, is a civil lawsuit brought by a private citizen on behalf of the state in an attempt to collect from parties that knowingly defraud state programs for their own gain by presenting fraudulent or misleading claims for payment, misusing state funds, or deceptively hiding or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, anyone who submits a whistleblower suit is safeguarded from employer retaliation. The whistleblower may likewise be rewarded in between 15 and 25 percent of the recovered funds if the state joins the suit. 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 accused can be ordered to pay the state government damages in the amount of up to 3 times the quantity of damage to the state. The accused can likewise be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Boca Raton, Florida

In the state of Florida, a complainant should file a whistleblower claim within 6 years of the offense. This may be encompassed ten years in certain circumstances.

Working With an Experienced Whistleblower Attorney

The state of Florida loses countless dollars each year in Medicaid fraud, and they rely on people like you to report it. If you know of Medicaid fraud in Boca Raton, Florida, getting the guidance of a skilled whistleblower lawyer can help you understand your rights and protections under the Florida False Claims Act. Contact Khurana Law Firm for a confidential, no-cost consultation in order 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 Boca Raton, 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 Boca Raton, Florida,  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 ATTORNEY; We are proud to represent healthcare workers in Boca Raton, Florida

If you’ve become aware of deceptive activity that may involve Medicaid or Medicare in Boca Raton, Florida, you need the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is totally examined and submitted accurately and immediately. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not try 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 assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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