Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Greenwood, Indiana

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars every year. Although many medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys can help people who work in the healthcare system to file claims on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Greenwood, Indiana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision 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 kept in the strictest confidence .

With our extensive 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 deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Greenwood, Indiana

In the state of Indiana, scams against the government is a significant expense to taxpayers. The Indiana False Claims and Whistleblower Protection Act enables private citizens with knowledge of scams to bring forth a qui tam suit on behalf of the state. This law holds people, business, and other entities accountable when they have presented false or deceitful claims for payment to the state of Indiana, have misused state property, or deceptively concealed or avoided payment obligations to the state.

 

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

 

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

 

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

Liability of the Defendant in Greenwood, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the accused might be accountable for approximately 3 times the expense to the state. In addition, the accused may be required to pay a fine of $5,000 for each infraction.

 

Under the Medicaid False Claims and Whistleblower Protection Act, a defendant can also be required to pay up to 3 times the monetary harm to the state, in addition to penalties of in between $5,500 and $11,000 per offense. Accuseds may also be responsible for the costs of the civil action.

Statute of Limitations in Greenwood, 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 file a complaint within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

If you have proof of fraudulent Medicaid activity in Greenwood, Indiana, you might be entitled to file a qui tam lawsuit on behalf of the state and gather a benefit for your brave efforts. At Khurana Law Firm, we provide a private, no-cost assessment so as to discuss your rights under whistleblower laws in Indiana. If you are a healthcare worker and have seen 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 Greenwood, 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 Greenwood, 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 LAWYER; We are proud to represent healthcare workers in Greenwood, Indiana

When you become aware of fraud involving Medicare or Medicaid in Greenwood, Indiana, you require the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally examined and submitted accurately and immediately. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing the chance for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not 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 lawyers to help in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam suit to help report the scams and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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