Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers assist healthcare workers to submit lawsuits on behalf of the federal or state government to help report this type of fraud.

The state and federal governments place a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks in Florida to come forward to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Wellington, Florida

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the market. understand that stepping forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Wellington, Florida

The state of Florida has enacted the Florida False Claims Act in order to allow individuals who know of fraud against the state’s Medicaid program the chance to come forward with a whistleblower legal action.

 

A whistleblower lawsuit, or qui tam suit, is a civil lawsuit brought by a person on behalf of the state in an endeavour to collect from entities that purposefully defraud state programs for their own gain by providing fraudulent or false claims for payment, misusing state funds, or deceptively concealing or preventing responsibilities to pay the state.

 

Under the Florida False Claims Act, anyone who files a whistleblower suit is protected from employer retaliation. The whistleblower might also be rewarded in between 15 and 25 percent of the recovery 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, an accused can be required to pay the state government damages in the amount of approximately three times the quantity of harm to the state. The offender can also be ordered to pay fines of $5,500 to $11,000 per infraction.

Statute of Limitations in Wellington, Florida

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

Working With an Experienced Whistleblower Lawyer

The state of Florida loses countless dollars each year in Medicaid scams, and they depend on people like you to report it. If you know of Medicaid scams in Wellington, 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 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 Wellington, 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 Wellington, 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 Wellington, Florida

When you become aware of potential fraud involving Medicare or Medicaid in Wellington, Florida, you need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally examined and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to collect a reward. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can be of help.

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