Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Lawrence, Indiana

Medicaid and Medicare fraud cost Indiana taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower attorneys help healthcare professionals to file lawsuits on behalf of the federal or state government to report this sort of fraud.

The federal and state governments place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government counts on private citizens in Indiana to come forward to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Lawrence, Indiana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is not simple and numerous 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, diligently and carefully prepare your case, for court, and work tirelessly with you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Lawrence, Indiana

In Indiana, fraud against the government is a significant cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act enables 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 accountable when they have provided false or deceptive 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 attend to 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 scams to file a whistleblower lawsuit on behalf of the state.

 

Under these Acts, a whistleblower who files an effective suit might receive in between 15 and 30 percent of the recovery, depending on if the government was party to the lawsuit. The court might minimize this award if the person participated in the fraud or if the information offered had been disclosed in the media or through public hearings.

 

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

Liability of the Defendant in Lawrence, Indiana

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

 

Under the Medicaid False Claims and Whistleblower Protection Act, a defendant can also be commanded to pay up to 3 times the financial harm to the state, in addition to charges of in between $5,500 and $11,000 per violation. Defendants may likewise be responsible for the costs of the civil action.

Statute of Limitations in Lawrence, Indiana

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

Working With an Experienced Whistleblower Lawyer

If you have proof of deceptive Medicaid activity in Lawrence, Indiana, you might be entitled to submit a qui tam claim on behalf of the state and collect a benefit for your brave efforts. At Khurana Law Firm, we offer a private, no-cost consultation in order to discuss your rights under whistleblower laws in Indiana. If you are a healthcare worker and have seen fraud 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 Lawrence, 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 Lawrence, 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 Lawrence, Indiana

If you’ve become aware of fraud that may involve Medicare or Medicaid in Lawrence, Indiana, you need the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is totally investigated and filed accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, thus increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to help in your fight against Medicare and Medicaid scams. We will examine your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam suit to report the fraud and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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