Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Ocala, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. Although most medical companies and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file claims on behalf of the federal or state government to help report this sort of fraud.

The state and federal governments put a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on every day people in Florida to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Ocala, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that coming forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine 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.

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Whistleblower Laws in Ocala, Florida

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

 

A whistleblower lawsuit, or qui tam claim, is a civil suit brought by a private citizen on behalf of the state in an endeavor to collect from entities that knowingly defraud state programs for their own gain by providing deceptive or inaccurate claims for payment, misusing state property, or deceptively concealing or avoiding commitments to pay the state.

 

Under the Florida False Claims Act, anyone who submits a whistleblower claim is protected against company retaliation. The whistleblower may likewise be rewarded in between 15 and 25 percent of the recovered funds if the state elects to join the case. If the complainant pursues the claim individually, they may 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, a defendant can be ordered to pay the government damages in the amount of approximately three times the quantity of damage to the state. The offender can also be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Ocala, Florida

In the state of Florida, a plaintiff must submit a whistleblower claim within six years of the violation. This might be extended to 10 years in certain circumstances.

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid fraud, and they count on people like you to report it. If you have knowledge of Medicaid scams in Ocala, 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 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 Ocala, 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 Ocala, 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 LAWYER; We are proud to represent healthcare workers in Ocala, Florida

When you become aware of fraudulent activity that may concern Medicare or Medicaid in Ocala, Florida, you require the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and promptly. By dealing with an experienced attorney you are increasing the chance that the government will step in, therefore increasing the opportunity 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 prior experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel 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 up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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