Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Fort Myers, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars annually. While the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to file lawsuits on behalf of the federal or state government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. We know that coming forward is not simple and lots of things might 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 examine your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Fort Myers, 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 step forward with a whistleblower claim.

 

A whistleblower lawsuit, or qui tam lawsuit, is a civil lawsuit brought by a private citizen on behalf of the state in an attempt to collect from parties that knowingly defraud state programs for their own gain by providing deceitful or false claims for payment, misappropriating state funds, or deceptively hiding or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, anybody who files a whistleblower claim is safeguarded against company retaliation. The whistleblower might likewise be rewarded between 15 and 25 percent of the recovered funds if the state elects to join the suit. If the claimant pursues the claim separately, they may be entitled to a 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 offender can be ordered to pay the state government damages in the amount of up to three times the quantity of damage to the state. The defendant can also be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Fort Myers, Florida

In the state of Florida, a plaintiff must submit 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 are aware of Medicaid fraud in Fort Myers, Florida, getting the assistance 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 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 Fort Myers, 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 Myers, 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 LAWYER; We are proud to represent healthcare workers in Fort Myers, Florida

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Fort Myers, Florida, you may need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and filed accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, thus increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam suit 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. Get in touch with us today to learn how we can help.

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