Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Bloomington, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars annually. While many medical service providers and drug companies are honest and work within the system, there are those who don’t. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys help people who work in the healthcare system to submit suits on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it counts on regular folks in Minnesota to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Bloomington, 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 scams in the market. We know that stepping forward is hard and lots of things might 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 examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Bloomington, Minnesota

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

 

The Minnesota False Claims Act permits private individual whistleblowers to bring a qui tam suit against an individual or business 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 recuperate monetary benefits for their information and their action against the scam 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 elects not to participate in the suit and the whistleblower pursues it independently, the whistleblower might get 25 to 30 percent of that recovery in financial rewards. There are instances when the state does not at first enter into the lawsuit however does so subsequently. In this case, the sum of whistleblower benefits is between 15 and 30 percent of the recovered funds.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, an accused may be accountable for as much as three times the harm to the state, in addition to fines of between $5,500 and $11,000 for each of their infractions.

Statute of Limitations in Bloomington, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Bloomington, Minnesota healthcare worker and have knowledge of fraudulent activity that may have cost the state of Minnesota or a political entity of the state money, it is crucial to get legal guidance from an experienced whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand your rights and alternatives. Contact us for a completely 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 Bloomington, 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 Bloomington, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Bloomington, Minnesota

When you become aware of fraud as it concerns Medicaid or Medicare in Bloomington, Minnesota, you require the advice of an experienced whistleblower attorney, someone who can ensure that your claim is fully examined and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a financial benefit. Because all whistleblower work is 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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