Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Tamarac, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars each 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 takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys can help people who work in the healthcare system to file suits on behalf of the federal or state government to help report this sort of fraud.

The federal and state governments put a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it depends on every day people in Florida to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Tamarac, Florida

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

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Tamarac, Florida

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

 

A whistleblower claim, or qui tam claim, is a civil lawsuit brought by a person on behalf of the state in an endeavor to collect from parties that knowingly defraud state programs for their own gain by presenting deceitful or inaccurate claims for payment, misusing state funds, or deceptively hiding or preventing commitments to pay the state.

 

Under the Florida False Claims Act, any individual who submits a whistleblower claim is safeguarded against employer retaliation. The whistleblower may also be rewarded in between 15 and 25 percent of the recovered funds if the state elects to join the lawsuit. If the complainant pursues the claim independently, they may be entitled to a financial reward of between 25 and 30 percent of the 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 offender can likewise be ordered by the court to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Tamarac, Florida

In the state of Florida, a complainant must submit a whistleblower claim within six years of the offense. This may be extended to 10 years in certain circumstances.

Working With an Experienced Whistleblower Attorney

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 fraud in Tamarac, 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 assessment 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 Tamarac, 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 Tamarac, 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 Tamarac, Florida

If you’ve become aware of fraud that may involve Medicaid or Medicare in Tamarac, Florida, you may need the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is completely investigated and submitted accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, therefore increasing the opportunity for a financial 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 battle against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to collect a reward. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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