Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Indianapolis, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars every year. While the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys help healthcare workers to file lawsuits on behalf of the federal or state government to report these kinds of scams.

The state and federal governments put a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on private citizens 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 Indianapolis, Indiana

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the market. We know that stepping forward is challenging and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Indianapolis, Indiana

In the state of Indiana, fraud against the government is a significant expense 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 lawsuit on behalf of the state. This law holds individuals, companies, and other entities liable when they have presented incorrect or deceptive claims for payment to the state of Indiana, have abused state property, or deceptively concealed or prevented payment commitments to the state.

 

The state of Indiana has a separate act specifically to deal with Medicaid scams. This is called the Medicaid False Claims and Whistleblower Act. This Act enables 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 an effective lawsuit might get in between 15 and 30 percent of the recovery, depending on if the federal government was party to the lawsuit. The court might lower this award if the person took part in the scams or if the details used had actually been disclosed in the media or through public hearings.

 

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

Liability of the Defendant in Indianapolis, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the accused might be liable for approximately three times the cost to the state. In addition, the accused might be required to pay a fine of $5,000 for each offense.

 

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

Statute of Limitations in Indianapolis, 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 deceptive Medicaid activity in Indianapolis, Indiana, you might be entitled to submit a qui tam suit on behalf of the state and gather a reward for your brave efforts. At Khurana Law Firm, we offer a confidential, no-cost consultation so as to discuss your rights under whistleblower laws in Indiana. If you are a healthcare worker and have witnessed 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 Indianapolis, 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 Indianapolis, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Indianapolis, Indiana

When you become aware of fraudulent activity involving Medicaid or Medicare in Indianapolis, Indiana, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid 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 legal representatives to assist in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we can represent you in a qui tam suit to report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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