Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Fort Lauderdale, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each year. Although many medical companies and drug companies are honest and work within the system, there are those who do not. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to file suits on behalf of the government to report these kinds of scams.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Fort Lauderdale, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the market. understand that coming forward is difficult and many things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

schedule a
confidential consultation

Whistleblower Laws in Fort Lauderdale, 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 option to come forward with a whistleblower claim.

 

A whistleblower suit, or qui tam lawsuit, is a civil lawsuit 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, misusing state property, or deceptively concealing or preventing commitments to pay the state.

 

Under the Florida False Claims Act, anyone who files 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 elects to join the suit. If the complainant pursues the claim separately, they may be entitled to a financial reward of between 25 and 30 percent of the financial recovery.

Liability of the Defendant in Florida

Under the Florida False Claims Act, a defendant can be required to pay the state government damages in the amount of approximately three times the amount of harm to the state. The defendant can likewise be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Fort Lauderdale, Florida

In the state of Florida, a complainant needs to submit a whistleblower claim within six years of the violation. This might be reached 10 years in certain situations.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses millions of dollars each year in Medicaid scams, and they rely on individuals like you to report it. If you know of Medicaid fraud in Fort Lauderdale, 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 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 Fort Lauderdale, 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 Fort Lauderdale, Florida,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Fort Lauderdale, Florida

When you become aware of potential fraud that may concern Medicare or Medicaid in Fort Lauderdale, Florida, you require the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and filed accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam attorneys to help in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review 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 suit to help report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

Service areas