Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Hollywood, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars every year. While the majority of medical providers and drug companies are honest and work within the system, some don’t. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to submit suits on behalf of the government to help report this sort of fraud.

The state and federal government place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it relies on private citizens in Florida to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. understand that stepping forward is challenging and numerous things may 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, and work relentlessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Hollywood, Florida

The state of Florida has enacted the Florida False Claims Act in order to enable private citizens who are aware of of scams against the state’s Medicaid program the chance to come forward with a whistleblower legal action.

 

A whistleblower claim, or qui tam claim, is a civil suit brought by an individual on behalf of the state in an attempt to collect from entities that intentionally defraud state programs for their own gain by presenting deceitful or false claims for payment, misappropriating state property, or deceptively concealing or avoiding obligations to pay the state.

 

Under the Florida False Claims Act, anybody who submits a whistleblower claim is protected against company retaliation. The whistleblower might also be rewarded between 15 and 25 percent of the recovery if the state elects to join the case. If the claimant pursues the claim independently, they may be entitled to a financial reward of in between 25 and 30 percent of the recovery.

Liability of the Defendant in Florida

Under the Florida False Claims Act, an offender can be required to pay the government damages in the amount of up to three times the amount of damage to the state. The accused can also be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Hollywood, Florida

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

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid fraud, and they rely on people like you to report it. If you know of Medicaid fraud in Hollywood, 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 consultation 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 Hollywood, 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 Hollywood, 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 Hollywood, Florida

If you’ve become aware of fraudulent activity that may involve Medicare or Medicaid in Hollywood, Florida, you may need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is completely examined and filed accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your battle against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam claim to help report the fraud and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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