Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in South Bend, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars every year. Although many medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to file suits on behalf of the government to report these kinds of scams.

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

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in South Bend, Indiana

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence .

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

schedule a
confidential consultation

Whistleblower Laws in South Bend, Indiana

In Indiana, scams against the government is a considerable cost to taxpayers. The Indiana False Claims and Whistleblower Protection Act allows private individuals with knowledge of scams to bring forth a qui tam lawsuit on behalf of the state. This law holds people, companies, and other entities responsible when they have presented incorrect or deceptive claims for payment to the state of Indiana, have misused state property, or deceptively concealed or avoided payment obligations to the state.

 

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

 

Under these Acts, a whistleblower who submits a successful claim may get between 15 and 30 percent of the recovery, depending on if the federal government was party to the suit. The court might decrease this award if the person participated in the fraud or if the details provided had actually been disclosed in the media or through public hearings.

 

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

Liability of the Defendant in South Bend, Indiana

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

 

Under the Medicaid False Claims and Whistleblower Protection Act, an offender can likewise be ordered to pay up to three times the monetary harm to the state, in addition to charges of between $5,500 and $11,000 per infraction. Accuseds might likewise be liable for the expenses of the civil action.

Statute of Limitations in South Bend, 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 fraudulent Medicaid activity in South Bend, Indiana, you may be entitled to submit a qui tam lawsuit on behalf of the state and gather a benefit for your heroic 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 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 South Bend, 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 South Bend, Indiana,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in South Bend, Indiana

If you’ve become aware of potential fraud involving Medicaid or Medicare in South Bend, Indiana, you need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is totally investigated and submitted accurately and immediately. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not 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 assist in your fight against Medicaid and Medicare fraud. We will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

Service areas