Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Orlando, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. While most medical service providers and drug companies are honest and work within the system, some don’t. When fraud happens, everybody can lose. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to file suits on behalf of the federal or state government to report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Orlando, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is difficult and lots of things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, and work tirelessly with both you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Orlando, Florida

The state of Florida has enacted the Florida False Claims Act in order to allow private citizens who are aware of of fraud against the state’s Medicaid program the chance to step forward with a whistleblower suit.

 

A whistleblower suit, or qui tam suit, is a civil lawsuit brought by a private citizen on behalf of the state in an endeavour to collect from parties that knowingly defraud state programs for their own gain by providing deceitful or misleading claims for payment, misappropriating state funds, or deceptively concealing or avoiding obligations to pay the state.

 

Under the Florida False Claims Act, anybody who submits a whistleblower lawsuit is safeguarded against company retaliation. The whistleblower might also be rewarded in between 15 and 25 percent of the recovery if the state elects to join the lawsuit. If the plaintiff pursues the claim independently, they may be entitled to a 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 approximately 3 times the amount of damage to the state. The defendant can likewise be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Orlando, Florida

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

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they depend on people like you to report it. If you know of Medicaid scams in Orlando, Florida, getting the assistance of a skilled whistleblower attorney 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 Orlando, 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 Orlando, 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 Orlando, Florida

If you’ve become aware of potential fraud that may involve Medicaid or Medicare in Orlando, Florida, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is completely investigated and filed accurately and promptly. By working with an experienced attorney you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam suit to report the scams and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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