Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the legal channels, some don’t. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower lawyers can assist healthcare professionals to submit lawsuits on behalf of the federal or state government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that coming forward is not simple and numerous things may 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 investigate your claim, diligently and carefully prepare your case, and work relentlessly with you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Doral, Florida

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

 

A whistleblower lawsuit, or qui tam suit, is a civil lawsuit brought by a person 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 misleading claims for payment, misusing state funds, or deceptively concealing or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, any individual who submits a whistleblower claim is safeguarded from company retaliation. The whistleblower may likewise be rewarded between 15 and 25 percent of the recovery if the state joins the suit. If the plaintiff pursues the claim independently, they may be entitled to a financial 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 ordered to pay the state government damages in the amount of up to 3 times the quantity of damage to the state. The offender can likewise be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Doral, Florida

In the state of Florida, a plaintiff must file a whistleblower claim within six years of the violation. This might be reached 10 years in certain circumstances.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses millions of dollars each year in Medicaid fraud, and they depend on individuals like you to report it. If you have knowledge of Medicaid fraud in Doral, Florida, getting the assistance of an experienced 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 in order 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 Doral, 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 Doral, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Doral, Florida

When you become aware of deceitful activity that may concern Medicare or Medicaid in Doral, Florida, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and promptly. By working with a knowledgeable attorney 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 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 prior experience as national qui tam lawyers to help 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 have a legitimate claim, we may represent you in a qui tam claim to report the scams and allow you to collect a reward. All whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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