Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Champaign, Illinois

Medicare and Medicaid fraud cost Illinois taxpayers billions of dollars each year. While the majority of medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit lawsuits on behalf of the government to report this sort of fraud.

The federal and state governments place a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government depends on every day people in Illinois to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Champaign, Illinois

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 scams in the industry. We know that stepping forward is difficult and numerous things may be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, and work relentlessly with you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Champaign, Illinois

When a person becomes aware of fraudulent activity against the Illinois state government Medicaid program, they may file a civil suit as whistleblowers under the Illinois False Claims Act.

 

This civil suit, filed on behalf of the government, holds those who perform deceitful activity liable for their misleading practices and recovers the loss to the state.

 

In addition to the Illinois False Claims Act, the Illinois Insurance Claims Fraud Prevention Act likewise allows individuals to come forward against scams perpetrated by private insurance companies.

 

State governments depend 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 violations. Since states typically have restricted resources to find fraudulent activity on their own, they rely heavily on individuals and will reward them in return.

 

If the state takes up and prosecutes the matter, a whistleblower can be awarded in between 15 and 25 percent of any recoveries. Even if the state opts not to step in and the whistleblower decides to proceed on their own, that whistleblower stands to receive in between 25 and 30 percent of the financial recovery as a reward.

 

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

Liability of the Defendant in Champaign, Illinois

In the state of Illinois, the accused can be held accountable for as much as 3 times the actual damage caused to the state and may be required to pay extra fines of between $5,000 and $11,000 per violation.

Statute of Limitations in Illinois

There is a statute of constraints for the filing of a whistleblower claim by an individual in Illinois. Plaintiffs need to file a suit within 10 years of the violation date in order to be considered for a whistleblower claim.

Dealing with an Experienced Whistleblower Attorney

If you are a healthcare worker in Champaign, Illinois and have learned about deceptive activity against the state government, getting the legal advice of a knowledgeable whistleblower attorney is crucial. At Khurana Law Firm, P.C., we are here to assist. Contact us for a confidential, no-cost assessment 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 Champaign, 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 Champaign, 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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Work With An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Champaign, Illinois

When you become aware of potential fraud that may concern Medicaid or Medicare in Champaign, Illinois, you need the guidance of a knowledgeable whistleblower attorney, someone who can make sure that your claim is totally investigated and submitted accurately and quickly. By working with a skilled attorney you are increasing the chance that the government will step in, hence increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not 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 attorneys to help in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel that you 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. All whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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