Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Port St. Lucie, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. Although the majority of medical providers and drug companies are honest and work within the system, there are those who do not. When fraud occurs, everybody loses. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to submit claims on behalf of the government to help report these kinds of scams.

The federal and state government put a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on regular folks in Florida to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Port St. Lucie, Florida

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and numerous 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 investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the federal or state government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Port St. Lucie, Florida

The state of Florida has enacted the Florida False Claims Act in order to enable people who know of fraud against the state’s Medicaid program the ability to step forward with a whistleblower lawsuit.

 

A whistleblower claim, or qui tam claim, is a civil lawsuit brought by a person on behalf of the state in an endeavour to collect from parties that knowingly defraud state programs for their own gain by providing fraudulent or misleading claims for payment, abusing state funds, or deceptively hiding or avoiding commitments to pay the state.

 

Under the Florida False Claims Act, anyone who submits a whistleblower suit is safeguarded against employer retaliation. The whistleblower might likewise be rewarded between 15 and 25 percent of the recovered funds if the state elects to join the suit. If the complainant pursues the claim separately, they may be entitled to a 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 ordered to pay the state government damages in the amount of approximately 3 times the quantity of harm to the state. The accused can likewise be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Port St. Lucie, Florida

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

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid fraud, and they rely on individuals like you to report it. If you have knowledge of Medicaid fraud in Port St. Lucie, Florida, getting the guidance 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 completely confidential, no-cost consultation 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 Port St. Lucie, 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 St. Lucie, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Port St. Lucie, Florida

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Port St. Lucie, Florida, you require the guidance of an experienced whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and quickly. By working with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam claim to report the fraud and allow you to collect a reward. All whistleblower cases are on contingency, you pay nothing until there is a recovery. Contact us today to learn how we can help.

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