Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Canton, Michigan

Medicaid and Medicare fraud cost Michigan taxpayers billions of dollars annually. While the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to submit claims on behalf of the government to help report this sort of fraud.

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

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Canton, Michigan

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. understand that coming forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Canton, Michigan

Michigan loses millions of dollars each year in Medicaid scams and counts on individuals to step forward with information concerning deceitful activity. In the state of Michigan, whistleblowers can file civil suits against businesses and individuals who present incorrect or deceptive claims to the state under the Michigan Medicaid False Claims Act. Under the Act, it is also unlawful to pay or receive funds in exchange for recommendations paid by Medicaid.

 

The Act allows the whistleblower to submit a qui tam suit against the parties on behalf of the state government in order to recuperate funds lost due to fraud. When the state government joins the lawsuit, a whistleblower can receive benefits in the amount of in between 15 and 25 percent of the recovery to the state. If the state picks not to participate in the suit, the whistleblower may be awarded between 25 and 30 percent  of the sum recovered.

 

Under whistleblower laws, the whistleblower is also protected from any employer retaliation against them in bringing forth a lawsuit.

Liability of the Defendant in Canton, Michigan

If a defendant is found guilty of defrauding the state, they may be ordered to pay up to triple the amount of real harm that they created, in addition to fines of in between $5,000 and $10,000 per individual infraction.

Statute of Limitations in Michigan

Under the Michigan Medicaid False Claims Act, a whistleblower must submit their problem within 10 years of the date of the infraction.

Working With an Experienced Whistleblower Lawyer

While the choice to come forward can be a difficult one, there is protection afforded under whistleblower laws. If you have information concerning Medicaid fraud in Canton, Michigan, we can offer guidance and information on what it means to be a whistleblower and how you are protected under the law. Contact the knowledgeable whistleblower lawyers at Khurana Law Firm for a completely confidential, no-cost consultation and to talk about a possible whistleblower claim.

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 Canton, Michigan, 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 Canton, Michigan,  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 Canton, Michigan

When you become aware of potential fraud as it concerns Medicare or Medicaid in Canton, Michigan, you may need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully examined and submitted accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam suit to help report the scams and allow you to collect a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

Service areas