Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Daytona Beach, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars annually. While many medical companies and drug companies are ethical and work within the legal channels, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower attorneys assist healthcare workers to file lawsuits on behalf of the federal or state government to report this sort of fraud.

The state and federal government place a great 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 to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Daytona Beach, Florida

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

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

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Whistleblower Laws in Daytona Beach, Florida

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

 

A whistleblower lawsuit, or qui tam suit, is a civil lawsuit brought by an individual 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 inaccurate claims for payment, abusing state funds, or deceptively concealing or avoiding commitments to pay the state.

 

Under the Florida False Claims Act, anybody who files a whistleblower lawsuit is safeguarded from company retaliation. The whistleblower might also be rewarded between 15 and 25 percent of the recovered funds if the state elects to join the case. If the plaintiff pursues the claim independently, they might be entitled to a 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 government damages in the amount of up to 3 times the amount of harm to the state. The defendant can also be ordered by the court to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Daytona Beach, Florida

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

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they depend on people like you to report it. If you know of Medicaid scams in Daytona Beach, Florida, getting the assistance of a knowledgeable whistleblower attorney can help you understand your rights and protections under the Florida False Claims Act. Contact Khurana Law Firm for a completely confidential, no-cost assessment 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 Daytona 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 Daytona 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Daytona Beach, Florida

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Daytona Beach, Florida, you may need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is completely investigated and submitted accurately and quickly. By working with a knowledgeable attorney you are increasing the chance that the government will step in, hence increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate 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 lawsuit to help report the fraud and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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