Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Lauderhill, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the legal channels, there are those who don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to file claims on behalf of the government to help report this sort of fraud.

The state and federal government place a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on regular folks in Florida to come forward to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Lauderhill, 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 fraud in the market. understand that stepping forward is hard and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

schedule a
confidential consultation

Whistleblower Laws in Lauderhill, Florida

The state of Florida has enacted the Florida False Claims Act in order to permit individuals who know of scams against the state’s Medicaid program the option to come forward with a whistleblower claim.

 

A whistleblower claim, or qui tam claim, is a civil lawsuit brought by a person on behalf of the state in an endeavour to collect from parties that purposefully defraud state programs for their own gain by providing deceptive or inaccurate claims for payment, abusing state property, or deceptively hiding or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, anyone who files a whistleblower lawsuit is safeguarded from company retaliation. The whistleblower may likewise be rewarded in between 15 and 25 percent of the recovered funds if the state joins the suit. If the claimant pursues the claim individually, 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 state government damages in the amount of as much as three times the quantity of damage to the state. The offender can also be ordered by the court to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Lauderhill, Florida

In the state of Florida, a complainant should file a whistleblower claim within 6 years of the infraction. This might be reached ten years in certain situations.

Working With an Experienced Whistleblower Attorney

The state of Florida loses countless dollars each year in Medicaid fraud, and they depend on individuals like you to report it. If you know of Medicaid fraud in Lauderhill, Florida, getting the assistance 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 Lauderhill, 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 Lauderhill, 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
WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Lauderhill, Florida

When you become aware of fraud as it concerns Medicare or Medicaid in Lauderhill, Florida, you require the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is completely examined and submitted accurately and without delay. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  do not 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 legal representatives to help in your battle 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 may have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to gather a financial benefit. 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.

Service areas