Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Jacksonville, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. Although most medical companies and drug companies are honest and work within the system, some don’t. When fraud occurs, everyone can lose. Medicare and Medicaid whistleblower lawyers assist healthcare workers to submit lawsuits on behalf of the government to help report these kinds of scams.

The federal and state governments put a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it counts on private citizens in Florida to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Jacksonville, Florida

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. We know that coming forward is hard and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Jacksonville, Florida

The state of Florida has enacted the Florida False Claims Act in order to enable people who know of scams against the state’s Medicaid program the chance to step forward with a whistleblower lawsuit.

 

A whistleblower claim, or qui tam suit, is a civil suit brought by a private citizen on behalf of the state in an endeavor to collect from parties that knowingly defraud state programs for their own gain by presenting fraudulent or inaccurate claims for payment, abusing state funds, or deceptively hiding or avoiding obligations to pay the state.

 

Under the Florida False Claims Act, anybody who submits a whistleblower claim is safeguarded against company retaliation. The whistleblower may also be rewarded in between 15 and 25 percent of the recovered funds if the state elects to join the suit. If the claimant pursues the claim individually, 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, an offender can be required to pay the state government damages in the amount of as much as 3 times the amount of harm to the state. The defendant can likewise be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Jacksonville, Florida

In the state of Florida, a plaintiff needs to file a whistleblower claim within 6 years of the violation. This might be reached 10 years in certain circumstances.

Working With an Experienced Whistleblower Attorney

The state of Florida loses countless dollars each year in Medicaid fraud, and they rely on people like you to report it. If you have knowledge of Medicaid scams in Jacksonville, 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 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 Jacksonville, 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 Jacksonville, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Jacksonville, Florida

If you’ve become aware of potential fraud involving Medicaid or Medicare in Jacksonville, Florida, you need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is fully examined and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the government will intervene, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t attempt 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 help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam lawsuit to help report the scams and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can be of help.

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