Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. While most medical providers and drug companies are honest and work within the system, there are those who don’t. When fraud happens, everybody loses. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to submit lawsuits on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Cape Coral, 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 fraud in the industry. We know that coming forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, and work relentlessly with you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Cape Coral, Florida

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

 

A whistleblower claim, or qui tam suit, is a civil suit brought by an individual on behalf of the state in an endeavour to collect from entities that purposefully defraud state programs for their own gain by presenting fraudulent or misleading claims for payment, misusing state property, or deceptively hiding or preventing responsibilities to pay the state.

 

Under the Florida False Claims Act, any individual who submits a whistleblower claim is protected against company retaliation. The whistleblower may also be rewarded between 15 and 25 percent of the recovery if the state joins the lawsuit. If the plaintiff pursues the claim separately, they may be entitled to a financial 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 required to pay the government damages in the amount of approximately 3 times the amount of harm to the state. The offender can also be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Cape Coral, Florida

In the state of Florida, a complainant needs to file a whistleblower claim within six years of the offense. This may be reached 10 years in certain circumstances.

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid scams, and they depend on people like you to report it. If you have knowledge of Medicaid scams in Cape Coral, 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 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 Cape Coral, 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 Cape Coral, 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 Cape Coral, Florida

If you’ve become aware of fraud that may concern Medicare or Medicaid in Cape Coral, Florida, you need the guidance of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully examined and filed accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, thus increasing the possibility for a 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 have years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we may 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 until there is a settlement. Contact us today to learn how we can be of help.

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