Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Bolingbrook, Illinois

Medicaid and Medicare fraud cost Illinois taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file lawsuits on behalf of the government to report this sort of fraud.

The federal and state government put a lot of trust in medical and pharmaceutical providers. When that trust is ill-placed, it counts on private citizens in Illinois to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Bolingbrook, Illinois

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. understand that stepping forward is hard and numerous 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 investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Bolingbrook, Illinois

When a healthcare worker becomes aware of potentially fraudulent activity against the Illinois state government Medicaid program, they have the right to submit a civil suit as whistleblowers under the Illinois False Claims Act.

 

This civil suit, filed on behalf of the state government, holds those who carry out deceitful activity accountable for their deceptive practices and recovers the loss to the state.

 

In addition to the Illinois False Claims Act, the Illinois Insurance Claims Fraud Prevention Act also permits private individuals to come forward against fraud perpetrated by private insurers.

 

State governments count on people with awareness of fraud to come forward with that information in order to hold fraudulent activity in check and to punish those who commit those infractions. Due to the fact that states normally have limited resources to find fraud on their own, the state rely on healthcare workers and will reward those individuals in return.

 

If the state takes up and prosecutes the matter, a whistleblower can be granted between 15 and 25 percent of any recovered funds. Even if the state opts not to step in and the whistleblower elects to continue on their own, that whistleblower stands to get between 25 and 30 percent of the financial recovery as a reward.

 

The Illinois False Claims Act likewise safeguards the whistleblower against retaliation when they have submitted a claim against their employer.

Liability of the Defendant in Bolingbrook, Illinois

In the state of Illinois, the offender can be held accountable for up to 3 times the actual damage inflicted to the state and might be ordered to pay additional fines of in between $5,000 and $11,000 per infraction.

Statute of Limitations in Illinois

There is a statute of limitations for the filing of a whistleblower claim by a private individual in Illinois. Complainants need to submit a suit within 10 years of the violation date in order to be considered for a whistleblower claim.

Working With an Experienced Whistleblower Attorney

If you are a healthcare worker in Bolingbrook, Illinois and have become aware of deceitful activity against the government, getting the legal guidance of a knowledgeable whistleblower attorney is important. At Khurana Law Firm, P.C., we are here to help. Contact us for a completely confidential, no-cost consultation to discuss your case.

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 Bolingbrook, Illinois, 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 Bolingbrook, Illinois,  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 LAWYER; We are proud to represent healthcare workers in Bolingbrook, Illinois

If you’ve become aware of deceptive activity as it concerns Medicare or Medicaid in Bolingbrook, Illinois, you may need the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and without delay. By working with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t try 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 fight against Medicaid and Medicare fraud. We will examine 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 claim to help report the scams and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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