Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Lafayette, Indiana

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars annually. Although many medical companies and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers help healthcare workers to submit claims on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Lafayette, 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. We know that coming forward is not easy and lots of things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Lafayette, Indiana

In Indiana, fraud against the government is a significant cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act makes it possible for private individuals with knowledge of scams to bring forth a qui tam lawsuit on behalf of the state. This law holds individuals, companies, and other entities responsible when they have provided incorrect or fraudulent claims for payment to the state of Indiana, have misused state property, or deceptively concealed or prevented payment commitments 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 enables private individuals who have knowledge and evidence of Medicaid fraud to submit a whistleblower lawsuit on behalf of the state.

 

Under these Acts, a whistleblower who files an effective lawsuit may receive 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 fraud or if the details used had actually been divulged in the media or through public hearings.

 

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

Liability of the Defendant in Lafayette, Indiana

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

 

Under the Medicaid False Claims and Whistleblower Protection Act, an accused can also be commanded 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. Accuseds might also be liable for the expenses of the civil action.

Statute of Limitations in Lafayette, 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 violation.

Working With an Experienced Whistleblower Attorney

If you have proof of deceitful Medicaid activity in Lafayette, Indiana, you may be entitled to submit a qui tam claim on behalf of the state and gather a reward for your brave efforts. At Khurana Law Firm, we provide a private, no-cost consultation in order to discuss your rights under whistleblower laws in Indiana. If you are a health care 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 Lafayette, 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 Lafayette, 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 Lafayette, Indiana

When you become aware of potential fraud that may concern Medicaid or Medicare in Lafayette, Indiana, you need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and immediately. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, thus increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a reward. All whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can be of help.

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