Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Waukegan, Illinois

Medicare and Medicaid fraud cost Illinois taxpayers billions of dollars each year. While the majority of medical companies and drug companies are honest and work within the system, some don’t. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys help healthcare professionals to file suits on behalf of the federal or state government to report this type of fraud.

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

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

At Khurana Law Firm, P.C., as skilled 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 challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Waukegan, Illinois

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

 

This civil suit, filed on behalf of the government, holds those who perform fraudulent activity responsible 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 allows people to come forward against fraud committed by private insurance providers.

 

State governments count on people with awareness of scams to come forward with that knowledge in order to hold fraudulent activity in check and to penalize those who commit those violations. Due to the fact that states typically have limited resources to find fraudulent activity on their own, the state rely heavily on healthcare workers and will reward them 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 chooses to proceed by themselves, that whistleblower stands to receive in between 25 and 30 percent of the recovery as a reward.

 

The Illinois False Claims Act also safeguards the whistleblower against retaliation when they have sued against their company.

Liability of the Defendant in Waukegan, Illinois

In the state of Illinois, the defendant can be held accountable for approximately three times the actual harm caused to the state and might be ordered to pay extra fines of between $5,000 and $11,000 per violation.

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 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 Waukegan, Illinois and have learned about fraudulent activity against the government, getting the legal advice of a skilled 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 Waukegan, 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 Waukegan, 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 Waukegan, Illinois

If you’ve become aware of potential fraud involving Medicaid or Medicare in Waukegan, Illinois, you need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams 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 battle against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam lawsuit to report the scams and allow you to collect a reward. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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