Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the system, some do not. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to file claims on behalf of the federal or state government to report this type of fraud.

The state and federal governments place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it relies on every day people in Florida to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Margate, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is difficult and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Margate, 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 chance to step forward with a whistleblower claim.

 

A whistleblower suit, or qui tam lawsuit, is a civil suit brought by a person on behalf of the state in an endeavor to collect from entities that intentionally defraud state programs for their own gain by providing deceitful or false claims for payment, abusing state funds, or deceptively concealing or preventing commitments to pay the state.

 

Under the Florida False Claims Act, anybody who submits a whistleblower claim is safeguarded from employer retaliation. The whistleblower might also be rewarded between 15 and 25 percent of the recovered funds if the state elects to join the suit. If the plaintiff pursues the claim independently, they may be entitled to a reward of between 25 and 30 percent of the recovery.

Liability of the Defendant in Florida

Under the Florida False Claims Act, an accused can be required to pay the government damages in the amount of as much as 3 times the quantity 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 Margate, Florida

In the state of Florida, a complainant should submit a whistleblower claim within 6 years of the offense. This might 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 fraud, and they depend on people like you to report it. If you are aware of Medicaid scams in Margate, 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 Margate, 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 Margate, 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 Margate, Florida

When you become aware of deceitful activity as it concerns Medicare or Medicaid in Margate, Florida, you require the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely investigated and filed accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams 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 legal representatives to assist 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 you have a valid claim, we may represent you in a qui tam suit to help report the scams and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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