Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Chicago, Illinois

Medicare and Medicaid fraud cost Illinois taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to file claims on behalf of the government to help report this sort of fraud.

The state and federal government place a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on private citizens in Illinois to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Chicago, Illinois

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the market. understand that stepping forward is difficult and many things might 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 completely examine your claim, diligently and carefully prepare your case, for court, and work tirelessly with you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Chicago, Illinois

When an individual becomes learns of potentially fraudulent activity against the Illinois state government Medicaid program, they have the right to submit a civil claim as whistleblowers under the Illinois False Claims Act.

 

This civil lawsuit, filed on behalf of the state government, holds those who perform deceitful activity accountable for their deceptive practices and helps recover the financial loss to the state.

 

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

 

State governments count on individuals with awareness of scams to come forward with that knowledge in order to hold fraudulent activity in check and to penalize those who carry out those offenses. Because states typically have restricted resources to find fraud on their own, they rely heavily on people and will reward those individuals in return.

 

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

 

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

Liability of the Defendant in Chicago, Illinois

In the state of Illinois, the accused can be held responsible for up to three times the actual damage caused to the state and might be required to pay additional fines of in between $5,000 and $11,000 per infraction.

Statute of Limitations in Illinois

There is a statute of restrictions for the filing of a whistleblower claim by a private individual in Illinois. Complainants must file a lawsuit within 10 years of the offense date in order to be considered for a whistleblower claim.

Working With an Experienced Whistleblower Attorney

If you are a healthcare worker in Chicago, Illinois and have become aware of deceptive activity against the state government, getting the legal advice of a knowledgeable whistleblower lawyer 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 Chicago, 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 Chicago, 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 LAWYER; We are proud to represent healthcare workers in Chicago, Illinois

When you become aware of fraud involving Medicare or Medicaid in Chicago, Illinois, you need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally examined and filed accurately and immediately. By working with an experienced attorney you are increasing the chance that the government will step in, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare fraud. We 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 suit to report the scams and enable you to gather a financial benefit. 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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