Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars every year. While the majority of medical service providers and drug companies are honest and work within the system, some don’t. When fraud occurs, everybody can lose. Medicaid and Medicare whistleblower lawyers can help people who work in the healthcare system to file suits on behalf of the federal or state government to report this type of fraud.

The federal and state government place a a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on private citizens in Minnesota to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Minnesota.

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping forward is challenging and numerous 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 completely investigate your claim, carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Minnesota

In Minnesota, the Minnesota False Claims Act makes entities or individuals who defraud the Minnesota Medicaid program liable for their actions. Each year, fraud costs the state millions of dollars. But because of limited resources, the state relies on individuals with information concerning fraud to come forward and file a whistleblower claim. 

 

The Minnesota False Claims Act allows private whistleblowers to bring a qui tam suit against an individual or company that has fraudulently cost money to the state or any political subdivision of that state, such as a county, city, or school district.  

 

The Act allows the whistleblower to recover financial rewards for their information and their action against the fraud perpetrator. If the state enters into the suit with the whistleblower, that whistleblower may receive 15 to 25 percent of the state’s recovery in a reward. If the state chooses not to enter into the suit and the whistleblower pursues it independently, the whistleblower may receive 25 to 30 percent of that recovery in reward. There are instances when the state does not initially enter into the suit but does so subsequently. In this case, the range of whistleblower rewards is between 15 and 30 percent of the recovery. 

 

Under the Minnesota False Claims Act, the whistleblower is also protected from retaliation by an employer.

Liability of the Defendant in Minnesota

In the state of Minnesota, a defendant may be liable for up to three times the harm to the state, in addition to fines of between $5,500 and $11,000 for each of their violations.

Statute of Limitations in Minnesota

Under the Minnesota False Claims Act, claims must be brought within ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have knowledge of fraudulent activity that has cost the state of Minnesota or a subdivision of the state money, it is critical to get legal advice from an experienced whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand your rights and options. Contact us for a confidential, no-cost consultation to discuss your case.

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 can report it 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. To report Medicare fraud, 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 ATTORNEY

When you become aware of potential fraud that may concern Medicaid or Medicare, you require the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is fully investigated and submitted accurately and without delay. By working with an experienced lawyer you are increasing the chance that the federal or state government will step in, hence increasing the chance for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t try 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 help in your fight against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam suit to help report the fraud and enable you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can be of help.

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