Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Tulsa, 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, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit lawsuits on behalf of the federal or state government to report these kinds of scams.

The federal and state governments put a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it relies on every day people in Oklahoma to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Tulsa, Oklahoma

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. understand that coming forward is not easy and many things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Tulsa, Oklahoma

In the state of Oklahoma, those who commit fraud against the state Medicaid program can be held responsible under the Oklahoma False Claims Act. The Act entitles those who know of scams to file a qui tam lawsuit against the offending entity on behalf of the state and gather a reward for their efforts.

 

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 participate in the suit, the whistleblower may be awarded in between 25 and 30 percent of the funds recovered.

 

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

Liability of the Defendant in Tulsa, Oklahoma

The defendant in a successful qui tam claim may be ordered to pay up to triple the amount of financial damage to the state. They might likewise be ordered 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 violation.

Working With an Experienced Whistleblower Attorney

When you know of fraudulent activity against the state Medicaid program in Tulsa, Oklahoma , you can file a qui tam suit and be rewarded for your efforts. Getting the help of a knowledgeable whistleblower attorney is vital to understand your rights and responsibilities under the law. At Khurana Law Firm, we provide a private, no-cost assessment in order 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 Tulsa, 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 Tulsa, 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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Report Medical fraud
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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Tulsa, Oklahoma

When you become aware of fraud that may involve Medicare or Medicaid in Tulsa, Oklahoma, you may need the guidance of an experienced whistleblower attorney, someone who can make sure that your claim is completely investigated and filed accurately and without delay. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam legal representatives to help in your battle against Medicare and Medicaid scams. We will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam suit to help report the fraud and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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