Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Sunrise, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each year. While many medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers assist healthcare professionals to file lawsuits on behalf of the government to help report this sort of fraud.

The state and federal government put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it relies on private citizens 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 Sunrise, 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 scams in the industry. understand that stepping forward is not easy and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Sunrise, Florida

The state of Florida has enacted the Florida False Claims Act in order to permit people who know of scams against the state’s Medicaid program the ability to come forward with a whistleblower suit.

 

A whistleblower claim, or qui tam lawsuit, is a civil lawsuit brought by an individual on behalf of the state in an endeavor to collect from parties that purposefully defraud state programs for their own gain by providing deceitful or inaccurate claims for payment, misusing state property, or deceptively concealing or avoiding commitments to pay the state.

 

Under the Florida False Claims Act, any individual who files a whistleblower claim is safeguarded from employer retaliation. The whistleblower might likewise be rewarded in between 15 and 25 percent of the recovered funds if the state joins the lawsuit. If the complainant pursues the claim independently, 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, an offender can be required to pay the state government damages in the amount of approximately 3 times the quantity of damage to the state. The defendant can likewise be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Sunrise, Florida

In the state of Florida, a plaintiff should submit a whistleblower claim within six years of the violation. This might be encompassed ten years in certain circumstances.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid fraud, and they rely on people like you to report it. If you know of Medicaid scams in Sunrise, Florida, getting the guidance 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 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 Sunrise, 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 Sunrise, 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 Sunrise, Florida

If you’ve become aware of potential fraud as it concerns Medicaid or Medicare in Sunrise, Florida, you need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. Our attorneys will evaluate 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 fraud and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can be of help.

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