Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Gary, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars each year. While the majority of medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers can help people who work in the healthcare system to submit claims on behalf of the government to report these kinds of scams.

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

Work with

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the market. We know that coming forward is not simple and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Gary, Indiana

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

 

The state of Indiana has a separate act specifically to deal with Medicaid fraud. This is called the Medicaid False Claims and Whistleblower Act. This Act makes it possible for private individuals who have knowledge and proof of Medicaid fraud to submit a whistleblower lawsuit 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 on if the federal government was party to the suit. The court may lower this award if the person participated in the fraud or if the info used had actually been divulged in the media or through public hearings.

 

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

Liability of the Defendant in Gary, Indiana

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

 

Under the Medicaid False Claims and Whistleblower Protection Act, an offender can likewise 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 infraction. Offenders may also be liable for the costs of the civil action.

Statute of Limitations in Gary, 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 violation.

Working With an Experienced Whistleblower Attorney

If you have proof of fraudulent Medicaid activity in Gary, Indiana, you may 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 offer a confidential, no-cost assessment to discuss your rights under whistleblower laws in Indiana. If you are a health care employee and have experienced scams or abuse, call 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 Gary, 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 Gary, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Gary, Indiana

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Gary, Indiana, you may need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and submitted accurately and quickly. By working with an experienced 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 an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam legal representatives to assist in your battle against Medicare and Medicaid scams. 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 suit to help report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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