Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Norman, Oklahoma

Medicare and Medicaid fraud cost Oklahoma taxpayers billions of dollars annually. While the majority of medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys can help healthcare workers to file lawsuits on behalf of the government to help report this sort of fraud.

The state and federal government place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it 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 attorneys; representing healthcare employees in Norman, Oklahoma

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the industry. We know that stepping forward is difficult and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, for court, and work relentlessly with both you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Norman, Oklahoma

In Oklahoma, those who commit scams against the state Medicaid program can be held responsible under the Oklahoma False Claims Act. The Act entitles those who have knowledge of scams to submit a qui tam suit against the offending party on behalf of the state and gather 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 lawsuit, the whistleblower might be granted between 25 and 30 percent of the funds recovered.

 

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

Liability of the Defendant in Norman, Oklahoma

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

Statute of Limitations in Oklahoma

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

Working With an Experienced Whistleblower Attorney

When you know of deceitful activity against the state Medicaid program in Norman, Oklahoma , you can submit a qui tam suit and be rewarded for your efforts. Getting the help of a knowledgeable whistleblower lawyer is important to understand your responsibilities and rights under the law. At Khurana Law Firm, we provide a private, no-cost consultation to discuss your case and your rights under the Oklahoma False Claims Act. Contact 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 Norman, 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 Norman, 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 ATTORNEY; We are proud to represent healthcare workers in Norman, Oklahoma

If you’ve become aware of deceitful activity as it concerns Medicare or Medicaid in Norman, Oklahoma, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally examined and submitted accurately and promptly. By working with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try 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 attorneys to help in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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