Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Orland Park, Illinois

Medicare and Medicaid fraud cost Illinois taxpayers billions of dollars every year. Although many medical service providers and drug companies are honest and work within the system, some don’t. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys help healthcare professionals to submit lawsuits on behalf of the government to report this type of fraud.

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

Work with

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the market. understand that stepping forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work tirelessly 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 Orland Park, Illinois

When an individual becomes discovers fraudulent activity against the Illinois state government Medicaid program, they may file a civil lawsuit as whistleblowers under the Illinois False Claims Act.

 

This civil suit, on behalf of the state government, holds those who perform deceptive activity accountable for their misleading practices and helps recover the 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 perpetrated by private insurance companies.

 

State governments rely 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 usually have restricted resources to find fraud 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 awarded in between 15 and 25 percent of any recoveries. Even if the state opts not to step in and the whistleblower elects to proceed by themselves, that whistleblower stands to get 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 sued against their company.

Liability of the Defendant in Orland Park, Illinois

In the state of Illinois, the accused can be held accountable for as much as 3 times the actual harm inflicted to the state and might be required to pay additional fines of in 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 should file a lawsuit within 10 years of the infraction date in order to be considered for a whistleblower claim.

Dealing with an Experienced Whistleblower Attorney

If you are a healthcare worker in Orland Park, Illinois and have become aware of fraudulent activity against the state government, getting the legal advice of a skilled whistleblower lawyer is important. At Khurana Law Firm, P.C., we are here to assist. 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 Orland Park, 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 Orland Park, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Orland Park, Illinois

If you’ve become aware of fraudulent activity that may concern Medicaid or Medicare in Orland Park, Illinois, you need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and immediately. By working with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing your chances for a reward. Reporting Medicare and Medicaid scams 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 attorneys to assist in your fight against Medicare and Medicaid fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam suit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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