Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Enid, Oklahoma

Medicare and Medicaid fraud cost Oklahoma taxpayers billions of dollars every year. While the majority of medical providers and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower lawyers help healthcare professionals to submit lawsuits on behalf of the federal or state government to report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Enid, 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 market. understand that stepping forward is challenging and numerous things may be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, diligently 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 Enid, Oklahoma

In the state of Oklahoma, those who commit fraud against the state Medicaid program may be held accountable under the Oklahoma False Claims Act. The Act entitles those who know of scams to submit a qui tam suit against the offending party on behalf of the state and collect a financial reward for their efforts.

 

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

 

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

Liability of the Defendant in Enid, Oklahoma

The offender in an effective qui tam suit might be ordered to pay up to triple the amount of monetary damage to the state. They might likewise be required to pay fines of in between $5,000 and $10,000 per infraction.

Statute of Limitations in Oklahoma

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

Working With an Experienced Whistleblower Lawyer

If you know of deceitful activity versus the state Medicaid program in Enid, Oklahoma , you can submit a qui tam lawsuit and be rewarded for your efforts. Getting the aid of a skilled whistleblower attorney is important in order 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 schedule 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 Enid, 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 Enid, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Enid, Oklahoma

When you become aware of deceptive activity that may concern Medicare or Medicaid in Enid, Oklahoma, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and filed accurately and quickly. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not 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 attorneys to assist in your battle against Medicare and Medicaid fraud. We will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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