Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Pembroke Pines, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. While most medical service providers and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys assist people who work in the healthcare system to submit lawsuits on behalf of the government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand that coming forward is not simple and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Pembroke Pines, Florida

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

 

A whistleblower lawsuit, or qui tam lawsuit, is a civil lawsuit brought by a person on behalf of the state in an attempt to collect from entities that intentionally defraud state programs for their own gain by providing fraudulent or false claims for payment, misappropriating state funds, or deceptively hiding or avoiding responsibilities to pay the state.

 

Under the Florida False Claims Act, any individual who submits a whistleblower lawsuit is safeguarded from employer 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 plaintiff 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, a defendant can be required to pay the state government damages in the amount of as much as three times the quantity of harm to the state. The defendant can likewise be ordered by the court to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Pembroke Pines, Florida

In the state of Florida, a complainant must submit a whistleblower claim within six years of the violation. This may be encompassed 10 years in certain situations.

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 Pembroke Pines, 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 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 Pembroke Pines, 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 Pembroke Pines, 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 Pembroke Pines, Florida

If you’ve become aware of deceptive activity as it concerns Medicare or Medicaid in Pembroke Pines, Florida, you may need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the opportunity for a reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to help in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam suit to 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. Contact us today to to schedule a confidential consultation.

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