Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Oklahoma taxpayers billions of dollars each year. Although the majority of medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower lawyers can assist people who work in the healthcare system to submit lawsuits on behalf of the government to report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Lawton, Oklahoma

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

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently and carefully prepare your case, and work relentlessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Lawton, Oklahoma

In Oklahoma, those who perpetrate fraud against the state Medicaid program can be held liable under the Oklahoma False Claims Act. The Act entitles those who have knowledge of scams to submit a qui tam claim against the offending party on behalf of the state and collect a 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 selects not to join in the claim, the whistleblower may be awarded in between 25 and 30 percent of the damages recovered.

 

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

Liability of the Defendant in Lawton, Oklahoma

The defendant in a successful qui tam lawsuit may be ordered to pay up to triple the amount of financial damage to the state. They may also be required to pay fines of between $5,000 and $10,000 per infraction.

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 Lawton, Oklahoma , you can submit a qui tam suit and be rewarded for your efforts. Getting the help of an experienced whistleblower lawyer is important in order to understand your rights and responsibilities under the law. At Khurana Law Firm, we offer a private, no-cost assessment 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 Lawton, 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 Lawton, 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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Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Lawton, Oklahoma

If you’ve become aware of deceitful activity that may concern Medicare or Medicaid in Lawton, Oklahoma, you require the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and promptly. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam legal representatives to assist in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review 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 help report the scams and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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