Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Boynton Beach, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the system, some don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys can help healthcare workers to submit lawsuits on behalf of the government to help report these kinds of scams.

The federal and state government place a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on private citizens in Florida to come forward and to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Boynton Beach, Florida

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. We know that stepping forward is hard and numerous things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Boynton Beach, Florida

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

 

A whistleblower claim, or qui tam suit, is a civil lawsuit brought by a private citizen on behalf of the state in an attempt to collect from entities that knowingly defraud state programs for their own gain by presenting deceitful or false claims for payment, abusing state property, or deceptively concealing or preventing obligations to pay the state.

 

Under the Florida False Claims Act, any individual who files a whistleblower suit is protected from employer retaliation. The whistleblower may also be rewarded in between 15 and 25 percent of the recovered funds if the state joins the case. If the plaintiff pursues the claim separately, they might be entitled to a financial reward of in between 25 and 30 percent of the 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 approximately 3 times the quantity of harm to the state. The offender can also be ordered by the court to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Boynton Beach, Florida

In the state of Florida, a plaintiff needs to file a whistleblower claim within six years of the offense. This might be reached ten years in certain situations.

Working With an Experienced Whistleblower Attorney

The state of Florida loses countless dollars each year in Medicaid scams, and they count on people like you to report it. If you know of Medicaid fraud in Boynton Beach, Florida, getting the assistance of a knowledgeable 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 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 Boynton Beach, 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 Boynton Beach, 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 Boynton Beach, Florida

When you become aware of deceptive activity involving Medicaid or Medicare in Boynton Beach, Florida, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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