Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Port Charlotte, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to submit suits on behalf of the federal or state government to report these kinds of scams.

The federal and state governments put a great deal of trust in medical and pharmaceutical companies. 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 Port Charlotte, 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 fraud in the market. understand that stepping forward is difficult and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, 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 Port Charlotte, Florida

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

 

A whistleblower suit, or qui tam claim, is a civil suit 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 presenting deceptive or false claims for payment, misappropriating state funds, or deceptively concealing or preventing commitments to pay the state.

 

Under the Florida False Claims Act, anyone who submits a whistleblower claim is protected from employer retaliation. The whistleblower may likewise be rewarded between 15 and 25 percent of the recovery if the state elects to join the suit. If the complainant pursues the claim individually, they might be entitled to a financial reward of in between 25 and 30 percent of the financial recovery.

Liability of the Defendant in Florida

Under the Florida False Claims Act, an accused can be required to pay the state government damages in the amount of up to 3 times the quantity of harm to the state. The accused can likewise be ordered by the court to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Port Charlotte, Florida

In the state of Florida, a plaintiff should submit a whistleblower claim within 6 years of the infraction. This may be encompassed 10 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 individuals like you to report it. If you have knowledge of Medicaid scams in Port Charlotte, Florida, getting the assistance of a knowledgeable whistleblower attorney 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 Port Charlotte, 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 Port Charlotte, 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 ATTORNEY; We are proud to represent healthcare workers in Port Charlotte, Florida

If you’ve become aware of fraud as it concerns Medicare or Medicaid in Port Charlotte, Florida, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is completely investigated and submitted accurately and quickly. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t attempt 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 fight against Medicare and Medicaid fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam claim to help report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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