Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Moore, Oklahoma

Medicaid and Medicare fraud cost Oklahoma taxpayers billions of dollars every year. Although the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to submit lawsuits on behalf of the government to report this sort of fraud.

The federal and state governments put a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government counts 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 healthcare employees in Moore, Oklahoma

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the market. We know that coming forward is hard and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Moore, Oklahoma

In the state of Oklahoma, those who commit scams against the state Medicaid program can be held liable under the Oklahoma False Claims Act. The Act entitles those who know of fraud 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 granted in between 15 and 25 percent of the funds recovered. If the state selects not to take part in the suit, the whistleblower might be awarded between 25 and 30 percent of the damages recovered.

 

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

Liability of the Defendant in Moore, Oklahoma

The defendant in an effective qui tam lawsuit might be ordered to pay up to triple the amount of financial 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 ten years from the date of the violation.

Working With an Experienced Whistleblower Lawyer

If you have knowledge of fraudulent activity against the state Medicaid program in Moore, Oklahoma , you can file a qui tam lawsuit and be rewarded for your efforts. Getting the assistance of an experienced whistleblower attorney is crucial in order to understand your responsibilities and rights under the law. At Khurana Law Firm, we provide a confidential, no-cost assessment to discuss your case and your rights under the Oklahoma False Claims Act. Contact us to arrange 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 Moore, 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 Moore, 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 Moore, Oklahoma

When you become aware of potential fraud that may concern Medicare or Medicaid in Moore, Oklahoma, you need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By dealing with an experienced lawyer you are increasing the chance that the government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is a complex 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 help in your fight against Medicare and Medicaid scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we can 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 nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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