Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Tampa, Florida

Medicare and Medicaid fraud cost Florida taxpayers billions of dollars annually. Although most medical companies and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers help healthcare workers to file suits on behalf of the federal or state government to help report this type of fraud.

The state and federal governments put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, it 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 lawyers; representing healthcare workers in Tampa, Florida

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. We know that stepping forward is not easy and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Tampa, 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 option to step forward with a whistleblower lawsuit.

 

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 knowingly defraud state programs for their own gain by presenting fraudulent or false claims for payment, misappropriating state funds, or deceptively hiding or preventing responsibilities to pay the state.

 

Under the Florida False Claims Act, any individual who files a whistleblower lawsuit is protected against company retaliation. The whistleblower might likewise be rewarded in between 15 and 25 percent of the recovered funds if the state elects to join the suit. If the claimant pursues the claim independently, they may be entitled to a 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 government damages in the amount of up to 3 times the quantity of damage to the state. The accused can also be ordered by the court to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Tampa, Florida

In the state of Florida, a plaintiff needs to file a whistleblower claim within 6 years of the violation. This may be reached 10 years in certain circumstances.

Working With an Experienced Whistleblower Lawyer

The state of Florida loses millions of dollars each year in Medicaid scams, and they rely on people like you to report it. If you are aware of Medicaid fraud in Tampa, Florida, getting the assistance 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 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 Tampa, 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 Tampa, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Tampa, Florida

When you become aware of potential fraud involving Medicaid or Medicare in Tampa, Florida, you need the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is completely examined and submitted accurately and without delay. By dealing with a skilled attorney 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 an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam suit to help report the fraud and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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