Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Pinellas Park, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. Although most medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to submit suits on behalf of the government to report this type of fraud.

The state and federal governments put 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 workers in Pinellas Park, Florida

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is not simple and lots of 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 thoroughly examine your claim, carefully prepare your case, and work tirelessly with both you and the federal or state government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Pinellas Park, Florida

The state of Florida has enacted the Florida False Claims Act in order to enable people who know of scams 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 attempt to collect from entities that knowingly defraud state programs for their own gain by providing fraudulent or false claims for payment, misappropriating state property, or deceptively concealing or preventing responsibilities to pay the state.

 

Under the Florida False Claims Act, anyone who submits a whistleblower suit is protected against company retaliation. The whistleblower might also 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 separately, 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 ordered to pay the state government damages in the amount of approximately three times the amount 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 Pinellas Park, Florida

In the state of Florida, a complainant needs to file a whistleblower claim within six years of the infraction. This may be encompassed ten years in certain situations.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they rely on people like you to report it. If you have knowledge of Medicaid scams in Pinellas Park, 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 completely confidential, no-cost consultation 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 Pinellas Park, 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 Pinellas Park, 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 Pinellas Park, Florida

When you become aware of fraudulent activity as it concerns Medicare or Medicaid in Pinellas Park, Florida, you require the advice of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and immediately. 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 scams is a complicated matter –  do not attempt 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 Medicare and Medicaid scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam claim to report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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