Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Naperville, Illinois

Medicaid and Medicare fraud cost Illinois taxpayers billions of dollars each year. Although most medical service providers and drug companies are honest and work within the legal channels, some do not. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare workers to file suits on behalf of the government to help report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Naperville, Illinois

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state government to help bring fraudulent Medicare or Medicaid activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Naperville, Illinois

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

 

This civil suit, on behalf of the government, holds those who carry out deceptive activity responsible 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 likewise enables individuals to come forward against fraud committed by private insurance companies.

 

State governments depend on individuals with awareness of scams to come forward with that knowledge in order to hold fraudulent activity in check and to punish those who carry out those infractions. Since states usually have limited resources to find fraudulent activity on their own, they rely heavily on people and will reward them in return.

 

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

 

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 Naperville, Illinois

In the state of Illinois, the defendant can be held accountable for approximately 3 times the actual damage inflicted to the state and might 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 a private individual in Illinois. Complainants must submit a suit 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 Naperville, Illinois and have learned about deceitful activity against the state government, getting the legal recommendations of a knowledgeable whistleblower lawyer is important. At Khurana Law Firm, P.C., we are here to help. Contact us for a 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 Naperville, 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 Naperville, Illinois,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Naperville, Illinois

When you become aware of deceptive activity as it concerns Medicaid or Medicare in Naperville, Illinois, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is fully examined and filed accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid 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 experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

Service areas