Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in West Lafayette, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars annually. While most medical companies and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys help healthcare professionals to file suits on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in West Lafayette, 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 market. understand that stepping forward is challenging and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in West Lafayette, Indiana

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

 

The state of Indiana has a different act specifically to address Medicaid scams. This is called the Medicaid False Claims and Whistleblower Act. This Act allows private people who have knowledge and proof of Medicaid fraud to file a whistleblower suit on behalf of the state.

 

Under these Acts, a whistleblower who submits a successful claim may get in between 15 and 30 percent of the recovery, depending upon if the government was party to the suit. The court may minimize this award if the individual participated in the fraud or if the info offered had been revealed in the media or through public hearings.

 

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

Liability of the Defendant in West Lafayette, Indiana

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

 

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 charges of in between $5,500 and $11,000 per violation. Accuseds may also be responsible for the expenses of the civil action.

Statute of Limitations in West 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 file a complaint within ten years of the date of the offense.

Working With an Experienced Whistleblower Lawyer

If you have evidence of deceitful Medicaid activity in West Lafayette, Indiana, you might be entitled to file a qui tam suit on behalf of the state and collect a reward for your heroic efforts. At Khurana Law Firm, we provide a confidential, no-cost consultation to discuss your rights under whistleblower laws in Indiana. If you are a healthcare employee and have witnessed 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 West 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 West 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in West Lafayette, Indiana

If you’ve become aware of deceptive activity involving Medicare or Medicaid in West Lafayette, Indiana, you need the advice of a skilled whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and without delay. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicare and Medicaid scams 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 prior experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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