Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Kokomo, Indiana

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

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Kokomo, Indiana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is difficult and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Kokomo, Indiana

In the state of Indiana, fraud against the government is a considerable 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 lawsuit on behalf of the state. This law holds individuals, companies, and other entities liable when they have presented false or deceptive claims for payment to the state of Indiana, have misappropriated state property, or deceptively concealed or avoided 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 file a whistleblower claim on behalf of the state.

 

Under these Acts, a whistleblower who submits an effective lawsuit might receive between 15 and 30 percent of the recovery, depending upon if the government was party to the lawsuit. The court might reduce this award if the person participated in the scams or if the information provided had been divulged 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 Kokomo, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the accused may be liable for approximately three times the expense to the state. In addition, the offender may 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 ordered to pay up to 3 times the financial harm to the state, in addition to penalties of between $5,500 and $11,000 per violation. Offenders may also be liable for the expenses of the civil action.

Statute of Limitations in Kokomo, Indiana

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

Working With an Experienced Whistleblower Lawyer

If you have evidence of fraudulent Medicaid activity in Kokomo, Indiana, you might be entitled to submit a qui tam claim on behalf of the state and gather a benefit for your heroic efforts. At Khurana Law Firm, we offer a confidential, no-cost consultation in order to discuss your rights under whistleblower laws in Indiana. If you are a health care employee and have witnessed 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 Kokomo, 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 Kokomo, 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 LAWYER; We are proud to represent healthcare workers in Kokomo, Indiana

When you become aware of fraud as it concerns Medicaid or Medicare in Kokomo, Indiana, you require the advice of a skilled whistleblower attorney, someone who can make sure that your claim is completely investigated and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, thus increasing the chance for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam claim to help report the scams and allow you to gather a reward. All whistleblower cases are on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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