Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Apple Valley, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower attorneys can help healthcare workers to file claims on behalf of the government to report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Apple Valley, Minnesota

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 fraud in the market. understand that coming forward is difficult and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work relentlessly with you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Apple Valley, Minnesota

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

 

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

 

The Act permits the whistleblower to recover monetary benefits for their info and their action against the fraud perpetrator. If the state participates in 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 get in into the suit and the whistleblower pursues it independently, the whistleblower might get 25 to 30 percent of that recovery in reward. There are circumstances when the state does not initially participate in the suit but does so later. In this case, the sum of whistleblower rewards is in 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, an offender might be liable for as much as three times the damage to the state, in addition to fines of between $5,500 and $11,000 for each of their offenses.

Statute of Limitations in Apple Valley, Minnesota

Under the Minnesota False Claims Act, claims must be brought within 10 years of the date of the infraction.

Dealing with an Experienced Whistleblower Attorney

If you are a Apple Valley, Minnesota healthcare worker and have knowledge of fraudulent activity that may have cost the state of Minnesota or a subdivision of the state money, it is critical to get legal guidance from a knowledgeable whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand your rights and choices. Contact us for a confidential, no-cost assessment 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 are a healthcare worker in Apple Valley, Minnesota, 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 Apple Valley, Minnesota,  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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Apple Valley, Minnesota

When you become aware of potential fraud that may concern Medicare or Medicaid in Apple Valley, Minnesota, you need the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally examined and filed accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and enable you to collect a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can be of help.

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