Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Fountainebleau, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars annually. While most medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to submit claims on behalf of the government to report this sort of fraud.

The federal and state governments put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government 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 attorneys; representing healthcare workers in Fountainebleau, Florida

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is not easy and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Fountainebleau, Florida

The state of Florida has enacted the Florida False Claims Act in order to allow individuals who are aware of of fraud against the state’s Medicaid program the chance to come forward with a whistleblower suit.

 

A whistleblower suit, or qui tam claim, is a civil lawsuit brought by a private citizen on behalf of the state in an attempt to collect from parties that intentionally defraud state programs for their own gain by presenting deceitful or inaccurate claims for payment, abusing state property, or deceptively concealing or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, any individual who files a whistleblower suit is protected from company retaliation. The whistleblower may likewise be rewarded between 15 and 25 percent of the recovered funds if the state joins the lawsuit. If the complainant pursues the claim individually, they might be entitled to a reward of between 25 and 30 percent of the financial 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 approximately 3 times the quantity of harm to the state. The accused can also be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Fountainebleau, Florida

In the state of Florida, a plaintiff should submit a whistleblower claim within 6 years of the infraction. This may be extended to 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 Fountainebleau, Florida, getting the guidance of a skilled whistleblower attorney can help you understand your rights and protections under the Florida False Claims Act. Contact Khurana Law Firm for a confidential, no-cost consultation 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 Fountainebleau, 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 Fountainebleau, 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 Fountainebleau, Florida

When you become aware of deceptive activity as it concerns Medicaid or Medicare in Fountainebleau, Florida, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is fully examined and submitted accurately and immediately. By dealing with an experienced attorney you are increasing the chance that the government will intervene, hence increasing your chances for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  do not try 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 lawyers to help in your battle against Medicare and Medicaid scams. We will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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