Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Elkhart, Indiana

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars every year. While many medical providers and drug companies are honest and work within the system, some don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to file claims on behalf of the government to help report this sort of fraud.

The state and federal government put a good deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it counts on every day people in Indiana to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Elkhart, Indiana

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the market. We know that stepping forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Elkhart, Indiana

In the state of Indiana, fraud against the government is a substantial cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act makes it possible for private individuals with knowledge of fraud to bring forth a qui tam suit on behalf of the state. This law holds individuals, business, and other entities accountable when they have provided false or deceptive claims for payment to the state of Indiana, have misused state property, or deceptively hid or avoided payment commitments to the state.

 

The state of Indiana has a separate act particularly to attend to Medicaid scams. This is called the Medicaid False Claims and Whistleblower Act. This Act makes it possible for private people who have knowledge and proof of Medicaid fraud to submit a whistleblower suit on behalf of the state.

 

Under these Acts, a whistleblower who files an effective suit may get in between 15 and 30 percent of the recovery, depending upon if the federal government was party to the lawsuit. The court might lower this award if the person participated in the scams or if the info provided had been disclosed in the media or through public hearings.

 

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

Liability of the Defendant in Elkhart, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the defendant may be accountable for up to 3 times the cost to the state. In addition, the offender might 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 required to pay up to three times the monetary harm to the state, in addition to penalties of between $5,500 and $11,000 per violation. Offenders may likewise be liable for the expenses of the civil action.

Statute of Limitations in Elkhart, Indiana

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

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceitful Medicaid activity in Elkhart, Indiana, you may be entitled to submit a qui tam claim on behalf of the state and gather a benefit for your brave efforts. At Khurana Law Firm, we offer a confidential, no-cost assessment in order to discuss your rights under whistleblower laws in Indiana. If you are a healthcare employee and have seen 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 are a healthcare worker in Elkhart, 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 Elkhart, 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 Elkhart, Indiana

When you become aware of potential fraud that may involve Medicaid or Medicare in Elkhart, Indiana, you may need the guidance of a knowledgeable whistleblower attorney, someone who can make sure that your claim is completely examined and submitted accurately and quickly. By working with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try 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 help in your battle against Medicare and Medicaid fraud. We will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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