Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Blaine, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the system, some don’t. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to submit suits on behalf of the government to report these kinds of scams.

The state and federal government put a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government depends on regular folks in Minnesota to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Blaine, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the market. understand that stepping forward is difficult and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive 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 fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Blaine, Minnesota

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

 

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

 

The Act allows the whistleblower to recuperate financial benefits for their info and their action against the fraud perpetrator. If the state participates in the suit with the whistleblower, that whistleblower may get 15 to 25 percent of the state’s recovery in a monetary reward. If the state selects not to enter into the suit and the whistleblower pursues it independently, the whistleblower might get 25 to 30 percent of that recovery in reward. There are instances when the state does not initially participate in the suit however does so later. In this case, the sum of whistleblower benefits is in between 15 and 30 percent of the recovered funds.

 

Under the Minnesota False Claims Act, the whistleblower is likewise safeguarded from retaliation by an employer.

Liability of the Defendant in Minnesota

In the state of Minnesota, an accused may be liable for up to 3 times the harm to the state, in addition to fines of in between $5,500 and $11,000 for each of their violations.

Statute of Limitations in Blaine, Minnesota

Under the Minnesota False Claims Act, claims need to be brought within 10 years of the date of the offense.

Dealing with an Experienced Whistleblower Attorney

If you are a Blaine, Minnesota healthcare worker and have knowledge of deceptive activity that has cost the state of Minnesota or a political entity of the state money, it is crucial to get legal guidance from a knowledgeable whistleblower lawyer. At Khurana Law Firm, P.C., we can explain 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 are a healthcare worker in Blaine, 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 Blaine, 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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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Blaine, Minnesota

When you become aware of potential fraud involving Medicaid or Medicare in Blaine, Minnesota, you need the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is completely investigated and submitted accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a 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 fight against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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