Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Bonita Springs, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each year. While many medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers can assist people who work in the healthcare system to file lawsuits on behalf of the government to report this type of fraud.

The state and federal government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it relies on regular folks in Florida to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Bonita Springs, Florida

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. understand that stepping forward is challenging and many things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, and work tirelessly with both you and the federal or state government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Bonita Springs, Florida

The state of Florida has enacted the Florida False Claims Act in order to permit private citizens who are aware of of fraud against the state’s Medicaid program the chance to step forward with a whistleblower suit.

 

A whistleblower lawsuit, or qui tam lawsuit, is a civil suit brought by an individual on behalf of the state in an endeavour to collect from parties that intentionally defraud state programs for their own gain by presenting deceitful 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 lawsuit is safeguarded from company retaliation. The whistleblower may likewise be rewarded in between 15 and 25 percent of the recovered funds if the state joins the case. If the claimant pursues the claim independently, they might be entitled to a reward of between 25 and 30 percent of the recovery.

Liability of the Defendant in Florida

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

Statute of Limitations in Bonita Springs, Florida

In the state of Florida, a plaintiff must submit a whistleblower claim within six years of the violation. This may be extended to 10 years in certain situations.

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid scams, and they depend on individuals like you to report it. If you have knowledge of Medicaid fraud in Bonita Springs, 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 completely 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 Bonita Springs, 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 Bonita Springs, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Bonita Springs, Florida

When you become aware of potential fraud that may involve Medicaid or Medicare in Bonita Springs, Florida, you may need the guidance of a skilled whistleblower lawyer, someone who can ensure that your claim is completely investigated and submitted accurately and without delay. By working with a skilled attorney you are increasing the chance that the government will step in, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t 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 legal representatives to assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers 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 scams and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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