Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Stillwater, Oklahoma

Medicaid and Medicare fraud cost Oklahoma taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys can help healthcare workers to file suits on behalf of the government to 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 relies 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 employees in Stillwater, Oklahoma

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

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work relentlessly with 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 Stillwater, 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 have knowledge of scams to file a qui tam lawsuit against the offending party on behalf of the state and gather a financial reward for the act of whistleblowing.

 

Under the Oklahoma False Claims Act, a whistleblower may be awarded between 15 and 25 percent of the funds recovered. If the state chooses not to take part in the lawsuit, the whistleblower might be granted in between 25 and 30 percent of the damages recovered.

 

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

Liability of the Defendant in Stillwater, Oklahoma

The offender in an effective qui tam suit might be ordered to pay up to triple the amount of financial damage to the state. They may likewise be required to pay fines of in 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 infraction.

Working With an Experienced Whistleblower Lawyer

If you know of deceitful activity against the state Medicaid program in Stillwater, Oklahoma , you can file a qui tam suit and be rewarded for your efforts. Getting the assistance of a knowledgeable whistleblower attorney is vital in order to understand your rights and responsibilities under the law. At Khurana Law Firm, we provide a confidential, no-cost assessment in order to discuss your case and your rights under the Oklahoma False Claims Act. Contact us to set up 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 Stillwater, 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 Stillwater, 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 Stillwater, Oklahoma

When you become aware of potential fraud that may concern Medicaid or Medicare in Stillwater, Oklahoma, you require the guidance of an experienced whistleblower attorney, someone who can guarantee that your claim is totally examined and filed accurately and immediately. By working with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing the chance for a reward. Reporting Medicaid and Medicare 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 practical experience as national qui tam legal representatives to assist in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam suit to help report the fraud and enable you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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