Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Poinciana, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each year. While most medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file suits on behalf of the government to report this sort of fraud.

The state and federal government place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it counts 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 health care workers in Poinciana, Florida

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the industry. understand that coming forward is challenging and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Poinciana, 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 claim.

 

A whistleblower claim, or qui tam suit, is a civil suit brought by a private citizen on behalf of the state in an endeavor to collect from entities that purposefully defraud state programs for their own gain by providing deceptive or false claims for payment, misusing 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 may also be rewarded in between 15 and 25 percent of the recovered funds if the state joins the suit. If the complainant pursues the claim separately, they might 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, a defendant can be ordered to pay the government damages in the amount of up to 3 times the amount of harm to the state. The offender can also be ordered by the court to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Poinciana, Florida

In the state of Florida, a complainant needs to submit a whistleblower claim within 6 years of the offense. 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 scams, and they depend on people like you to report it. If you know of Medicaid fraud in Poinciana, Florida, getting the guidance of an experienced 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 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 Poinciana, 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 Poinciana, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Poinciana, Florida

If you’ve become aware of fraud involving Medicaid or Medicare in Poinciana, Florida, you require the advice of a skilled whistleblower attorney, someone who can make sure that your claim is totally investigated and submitted accurately and promptly. By working with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing your chances for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not 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 lawyers to assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay 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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