Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Weston, Florida

Medicaid and Medicare fraud cost Florida taxpayers billions of dollars annually. While the majority of medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to submit suits on behalf of the government to report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Weston, Florida

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and many 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 completely examine your claim, diligently and carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Weston, Florida

The state of Florida has enacted the Florida False Claims Act in order to allow private citizens who are aware of of scams against the state’s Medicaid program the ability to step forward with a whistleblower claim.

 

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

 

Under the Florida False Claims Act, any individual who files a whistleblower suit is safeguarded against employer retaliation. The whistleblower may also be rewarded in between 15 and 25 percent of the recovery if the state elects to join the case. If the complainant pursues the claim individually, they might 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, a defendant can be ordered to pay the government damages in the amount of approximately three times the amount of harm 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 Weston, Florida

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

Working With an Experienced Whistleblower Attorney

The state of Florida loses millions of dollars each year in Medicaid fraud, and they rely on people like you to report it. If you are aware of Medicaid fraud in Weston, Florida, getting the guidance of an experienced whistleblower lawyer 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 Weston, 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 Weston, 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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Report Medical fraud
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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Weston, Florida

When you become aware of potential fraud involving Medicare or Medicaid in Weston, Florida, you may need the guidance of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully investigated and submitted accurately and promptly. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare 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 assist in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam suit to report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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