Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Oklahoma taxpayers billions of dollars every year. While many medical providers and drug companies are honest and work within the system, there are those who do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to file lawsuits on behalf of the government to help report this type of fraud.

The state and federal government place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it depends on every day people in Oklahoma to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Edmond, Oklahoma

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the industry. understand that stepping forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Edmond, Oklahoma

In the state of Oklahoma, those who commit fraud against the state Medicaid program can be held liable under the Oklahoma False Claims Act. The Act entitles those who have knowledge of fraud to file a qui tam suit against the aggrieving entity on behalf of the state and gather a financial reward for their efforts.

 

Under the Oklahoma False Claims Act, a whistleblower may be granted in between 15 and 25 percent of the state’s recovery. If the state chooses not to participate in the lawsuit, the whistleblower might be awarded between 25 and 30 percent of the recovery.

 

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

Liability of the Defendant in Edmond, Oklahoma

The accused in a successful qui tam suit might be ordered to pay up to triple the amount of financial damage to the state. They may likewise be ordered to pay fines of between $5,000 and $10,000 per violation.

Statute of Limitations in Oklahoma

A whistleblower must file their complaint within 10 years from the date of the violation.

Working With an Experienced Whistleblower Attorney

When you have knowledge of deceptive activity against the state Medicaid program in Edmond, Oklahoma , you can submit a qui tam lawsuit and be rewarded for your efforts. Getting the help of a skilled whistleblower attorney is crucial in order to understand your responsibilities and rights under the law. At Khurana Law Firm, we offer a private, no-cost consultation to discuss your case and your rights under the Oklahoma False Claims Act. Get in touch with us to arrange an 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 Edmond, 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 Edmond, 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 LAWYER; We are proud to represent healthcare workers in Edmond, Oklahoma

If you’ve become aware of potential fraud involving Medicaid or Medicare in Edmond, Oklahoma, you may need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is completely examined and filed accurately and without delay. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not 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 help in your battle against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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