Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Mishawaka, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars each year. While most medical companies and drug companies are ethical and work within the system, there are those who don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower lawyers can help healthcare professionals to submit suits on behalf of the government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the industry. understand that stepping forward is hard and numerous things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Mishawaka, Indiana

In Indiana, scams against the government is a considerable cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act allows private citizens with knowledge of scams to bring forth a qui tam suit on behalf of the state. This law holds individuals, business, and other entities responsible when they have presented false or deceitful claims for payment to the state of Indiana, have misappropriated state property, or deceptively hid or avoided payment responsibilities to the state.

 

The state of Indiana has a different act particularly to deal with Medicaid fraud. This is called the Medicaid False Claims and Whistleblower Act. This Act allows private individuals who have knowledge and evidence of Medicaid scams to submit a whistleblower lawsuit on behalf of the state.

 

Under these Acts, a whistleblower who submits a successful claim might receive in between 15 and 30 percent of the recovery, depending upon if the government was party to the lawsuit. The court may lower this award if the person took part in the fraud or if the info used had been divulged in the media or through public hearings.

 

These Acts likewise safeguard against company retribution as a result of the whistleblower’s filing case.

Liability of the Defendant in Mishawaka, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the offender might be responsible for up to 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 likewise be ordered to pay up to three times the monetary harm to the state, in addition to penalties of between $5,500 and $11,000 per infraction. Accuseds may likewise be liable for the costs of the civil action.

Statute of Limitations in Mishawaka, 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 offense.

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceptive Medicaid activity in Mishawaka, Indiana, you might be entitled to submit a qui tam claim on behalf of the state and collect a reward for your brave efforts. At Khurana Law Firm, we provide a private, no-cost consultation so as to discuss your rights under whistleblower laws in Indiana. If you are a healthcare employee and have experienced 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 Mishawaka, 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 Mishawaka, 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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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Mishawaka, Indiana

When you become aware of fraud that may involve Medicare or Medicaid in Mishawaka, Indiana, you need the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is completely examined and submitted accurately and quickly. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare scams. Our attorneys 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 lawsuit to report the scams and allow you to collect a reward. 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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