Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Country Club, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. Although many medical service providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to file suits on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Country Club, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that coming forward is difficult and many things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Country Club, Florida

The state of Florida has enacted the Florida False Claims Act in order to permit individuals who know of scams against the state’s Medicaid program the chance to step forward with a whistleblower suit.

 

A whistleblower claim, or qui tam lawsuit, is a civil suit brought by a private citizen 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, misappropriating state funds, or deceptively hiding or preventing obligations to pay the state.

 

Under the Florida False Claims Act, any individual who submits a whistleblower claim is protected from employer retaliation. The whistleblower may likewise be rewarded in between 15 and 25 percent of the recovered funds if the state elects to join the lawsuit. If the claimant pursues the claim independently, they may 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 offender can be required to pay the state government damages in the amount of approximately three times the amount of harm to the state. The accused can likewise be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Country Club, Florida

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

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they count on individuals like you to report it. If you are aware of Medicaid scams in Country Club, Florida, getting the guidance 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 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 Country Club, 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 Country Club, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Country Club, Florida

When you become aware of deceptive activity that may involve Medicaid or Medicare in Country Club, Florida, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t try 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 attorneys to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam lawsuit to report the scams and allow you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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