Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in The Villages, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars annually. Although many medical service providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to submit claims on behalf of the government to report these kinds of scams.

The state and federal government put a great deal of trust in pharmaceutical and medical 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 Medicaid and Medicare whistleblower lawyers; representing health care workers in The Villages, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and lots of things may 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 thoroughly examine your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in The Villages, Florida

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

 

A whistleblower claim, or qui tam lawsuit, is a civil suit brought by an individual on behalf of the state in an attempt to collect from entities that purposefully defraud state programs for their own gain by providing fraudulent or inaccurate claims for payment, misappropriating state funds, or deceptively concealing or preventing commitments to pay the state.

 

Under the Florida False Claims Act, any individual who files a whistleblower claim is protected from company retaliation. The whistleblower might also be rewarded in between 15 and 25 percent of the recovery if the state elects to join the case. If the plaintiff 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 offender can be ordered to pay the state government damages in the amount of as much as three times the quantity of damage to the state. The defendant can likewise be ordered by the court to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in The Villages, Florida

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

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid scams, and they count on individuals like you to report it. If you know of Medicaid scams in The Villages, 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 confidential, no-cost assessment 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 The Villages, 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 The Villages, 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 The Villages, Florida

When you become aware of potential fraud that may concern Medicaid or Medicare in The Villages, Florida, you require the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and quickly. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t 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 lawyers to assist in your fight against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam claim to report the scams and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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