Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Broken Arrow, Oklahoma

Medicare and Medicaid fraud cost Oklahoma taxpayers billions of dollars every year. While the majority of medical service providers and drug companies are honest and work within the system, some do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to file claims on behalf of the federal or state government to report this sort of fraud.

The federal and state governments place a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government relies on private citizens in Oklahoma to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Broken Arrow, Oklahoma

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

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Broken Arrow, Oklahoma

In Oklahoma, those who perpetrate scams against the state Medicaid program may be held liable under the Oklahoma False Claims Act. The Act entitles those who learned of scams to file a qui tam suit against the offending party on behalf of the state and collect a reward for their efforts.

 

Under the Oklahoma False Claims Act, a whistleblower may be awarded between 15 and 25 percent of the funds recovered. If the state selects not to take part in the suit, the whistleblower might be granted between 25 and 30 percent of the funds recovered.

 

A whistleblower is also safeguarded from employer retaliation under the Oklahoma False Claims Act.

Liability of the Defendant in Broken Arrow, Oklahoma

The defendant in an effective qui tam claim may be ordered to pay up to triple the amount of monetary damage to the state. They may also be required to pay fines of in between $5,000 and $10,000 per violation.

Statute of Limitations in Oklahoma

A whistleblower must submit their complaint within 10 years from the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you know of deceitful activity versus the state Medicaid program in Broken Arrow, Oklahoma , you can submit a qui tam suit and be rewarded for your efforts. Getting the help of a knowledgeable whistleblower lawyer is vital to understand your responsibilities and rights under the law. At Khurana Law Firm, we provide a confidential, no-cost consultation to discuss your case and your rights under the Oklahoma False Claims Act. Get in touch with us to set up a confidential appointment.

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 Broken Arrow, Oklahoma, 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 Broken Arrow, Oklahoma,  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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Broken Arrow, Oklahoma

If you’ve become aware of fraudulent activity that may involve Medicare or Medicaid in Broken Arrow, Oklahoma, you may need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam suit to report the scams and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can help.

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