Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Bloomington, Indiana

Medicare and Medicaid fraud cost Indiana 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 fraud happens, everyone loses. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to submit suits on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Bloomington, Indiana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that stepping forward is challenging and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, diligently prepare your case, and work relentlessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Bloomington, Indiana

In Indiana, scams against the government is a substantial cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act allows private individuals with knowledge of fraud to bring forth a qui tam lawsuit on behalf of the state. This law holds people, companies, and other entities liable when they have provided false or deceptive claims for payment to the state of Indiana, have misappropriated state property, or deceptively hid or prevented payment responsibilities to the state.

 

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

 

Under these Acts, a whistleblower who submits a successful suit might get between 15 and 30 percent of the recovery, depending on if the federal government was party to the suit. The court might lower this award if the individual took part in the scams or if the info used had actually been revealed in the media or through public hearings.

 

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

Liability of the Defendant in Bloomington, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the accused may be accountable for approximately three times the expense to the state. In addition, the defendant may be required to pay a fine of $5,000 for each infraction.

 

Under the Medicaid False Claims and Whistleblower Protection Act, an accused can also be commanded to pay up to 3 times the financial harm to the state, in addition to penalties of in between $5,500 and $11,000 per offense. Accuseds might also be liable for the costs of the civil action.

Statute of Limitations in Bloomington, 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 offense.

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceptive Medicaid activity in Bloomington, Indiana, you might be entitled to submit a qui tam claim on behalf of the state and collect a reward for your heroic efforts. At Khurana Law Firm, we provide a private, no-cost assessment in order to discuss your rights under whistleblower laws in Indiana. If you are a healthcare employee and have seen scams 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 are a healthcare worker in Bloomington, Indiana, 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 Bloomington, Indiana,  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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Bloomington, Indiana

If you’ve become aware of fraud that may concern Medicare or Medicaid in Bloomington, Indiana, you may need the advice of a skilled whistleblower lawyer, someone who can guarantee that your claim is completely examined and filed accurately and without delay. By dealing with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility 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 have years of prior experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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