Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in St. Petersburg, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are ethical and work within the system, some do not. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower lawyers can help people who work in the healthcare system to file claims on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on regular folks 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 St. Petersburg, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is hard and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in St. Petersburg, Florida

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

 

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

 

Under the Florida False Claims Act, anybody who submits a whistleblower lawsuit is safeguarded from employer retaliation. The whistleblower may also 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 individually, 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, a defendant can be ordered to pay the state government damages in the amount of as much as 3 times the quantity of harm to the state. The defendant can likewise be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in St. Petersburg, Florida

In the state of Florida, a plaintiff must file a whistleblower claim within 6 years of the offense. This may be reached 10 years in certain situations.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses millions of dollars each year in Medicaid fraud, and they depend on people like you to report it. If you have knowledge of Medicaid fraud in St. Petersburg, Florida, getting the assistance of an experienced whistleblower attorney can help you understand your rights and protections under the Florida False Claims Act. Contact Khurana Law Firm for a confidential, no-cost consultation so as 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 St. Petersburg, 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 St. Petersburg, 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 St. Petersburg, Florida

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in St. Petersburg, Florida, you require the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the possibility for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not attempt 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 attorneys to assist in your battle against Medicare and Medicaid fraud. We will review your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we can represent you in a qui tam lawsuit to help report the scams and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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