Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars each year. Although many medical service providers and drug companies are honest and work within the system, some do not. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare professionals to file claims on behalf of the government to help report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Fishers, Indiana

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. understand that stepping forward is challenging and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Fishers, Indiana

In Indiana, scams against the government is a significant cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act makes it possible for private citizens with knowledge of fraud to bring forth a qui tam suit on behalf of the state. This law holds people, business, and other entities liable when they have presented false or deceptive claims for payment to the state of Indiana, have abused state property, or deceptively concealed or prevented payment responsibilities to the state.

 

The state of Indiana has a different act specifically to deal with Medicaid fraud. 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 scams to file a whistleblower claim on behalf of the state.

 

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

 

These Acts likewise safeguard against company retribution as a result of the whistleblower’s filing case.

Liability of the Defendant in Fishers, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the defendant may be liable for as much as 3 times the cost to the state. In addition, the offender might be ordered to pay a fine of $5,000 for each violation.

 

Under the Medicaid False Claims and Whistleblower Protection Act, an offender can also be required to pay up to 3 times the monetary harm to the state, in addition to charges of in between $5,500 and $11,000 per violation. Defendants may likewise be liable for the costs of the civil action.

Statute of Limitations in Fishers, Indiana

Under both the Indiana False Claims Act and Whistleblower Protection Act and the Medicaid False Claims and Whistleblower Protection Act, the whistleblower needs to submit a complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you have proof of fraudulent Medicaid activity in Fishers, Indiana, you may be entitled to file a qui tam lawsuit on behalf of the state and collect a benefit for your brave efforts. At Khurana Law Firm, we provide a confidential, no-cost consultation 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 Fishers, 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 Fishers, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Fishers, Indiana

If you’ve become aware of potential fraud involving Medicaid or Medicare in Fishers, Indiana, you require the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is totally examined and filed accurately and promptly. By working with a knowledgeable attorney 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 complicated matter –  do not 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 battle against Medicare and Medicaid fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can help.

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