Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Brooklyn Park, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars each year. While many medical companies and drug companies are honest and work within the system, some do not. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower lawyers help healthcare workers to submit lawsuits on behalf of the government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Brooklyn Park, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is challenging and numerous 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, and work relentlessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Brooklyn Park, Minnesota

In Minnesota, the Minnesota False Claims Act makes business entities or private citizens who defraud the Minnesota Medicaid program liable for their actions. Each year, fraud costs the state millions of dollars. However, due to limited resources, the state depends on people with information concerning fraud to come forward and file a whistleblower claim.

 

The Minnesota False Claims Act permits private whistleblowers to bring a qui tam suit against a a person or business 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 recover monetary benefits for their details 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 monetary reward. If the state elects not to enter into 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 suit but does so later. In this case, the sum of whistleblower benefits is between 15 and 30 percent of the recovery.

 

Under the Minnesota False Claims Act, the whistleblower is likewise secured from retaliation by a company.

Liability of the Defendant in Minnesota

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

Statute of Limitations in Brooklyn Park, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Brooklyn Park, Minnesota healthcare worker and know of fraudulent activity that has cost the state of Minnesota or a political entity of the state money, it is vital to get legal guidance from a skilled whistleblower lawyer. At Khurana Law Firm, P.C., we can explain your rights and options. 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 Brooklyn Park, 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 Brooklyn Park, 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 Brooklyn Park, Minnesota

When you become aware of fraud that may concern Medicaid or Medicare in Brooklyn Park, Minnesota, you may need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely examined and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

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

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