Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Indiana

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower attorneys can help people who work in the healthcare system to submit claims on behalf of the government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Indiana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and numerous 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 investigate your claim, diligently prepare your case, for court, and work relentlessly with you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Indiana

In Indiana, fraud against the government is a significant cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act enables private individuals with knowledge of fraud to bring forth a qui tam lawsuit on behalf of the state. This law holds individuals, companies, and other entities liable when they have presented false or fraudulent claims for payment to the state of Indiana, have misappropriated state property, or deceptively concealed or avoided payment obligations to the state. 

 

The state of Indiana has a separate act specifically to address Medicaid fraud. This is called the Medicaid False Claims and Whistleblower Act. This Act enables private individuals who have knowledge and evidence of Medicaid fraud to file a whistleblower lawsuit on behalf of the state. 

 

Under these Acts, a whistleblower who files a successful lawsuit may receive between 15 and 30 percent of the recovery, depending on if the government was party to the suit. The court may reduce this award if the individual took part in the fraud or if the information offered had been disclosed in the media or through public hearings. 

 

These Acts also protect against employer retaliation as a result of the whistleblower’s filing suit.

Liability of the Defendant in Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the defendant may be liable for up to three times the cost to the state. In addition, the defendant may be ordered to pay a fine of $5,000 for each violation. 

 

Under the Medicaid False Claims and Whistleblower Protection Act, a defendant can also be ordered to pay up to three times the financial harm to the state, in addition to penalties of between $5,500 and $11,000 per violation. Defendants may also be liable for the costs of the civil action.

Statute of Limitations in Indiana

Under both the Indiana False Claims Act and Whistleblower Protection Act and the Medicaid False Claims and Whistleblower Protection Act, the whistleblower must file a complaint within ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have evidence of fraudulent Medicaid activity in Indiana, you may be entitled to file a qui tam lawsuit on behalf of the state and collect a reward for your heroic efforts.  At Khurana Law Firm, we offer a confidential, no-cost consultation to discuss your rights under whistleblower laws in Indiana. If you are a healthcare worker and have witnessed fraud or abuse, contact us.

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 can report it 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. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER

When you become aware of potential fraud involving Medicare or Medicaid, you need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is totally investigated and filed accurately and quickly. By working with a skilled attorney you are increasing the chance that the federal or state government will step in, thus increasing the chance for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t 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 lawyers to help in your battle against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam claim to help report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can be of help.

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