Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Burnsville, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars every year. Although most medical 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 can assist healthcare workers to file claims on behalf of the federal or state government to help report this sort of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government counts on every day people in Minnesota to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the market. We know that coming forward is not easy and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Burnsville, Minnesota

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

 

The Minnesota False Claims Act enables private individual whistleblowers to bring a qui tam suit against a a person 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 enables the whistleblower to recover financial benefits 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 recovered funds in a monetary reward. If the state elects not to enter into the suit and the whistleblower pursues it individually, the whistleblower may get 25 to 30 percent of that recovery in financial rewards. There are circumstances when the state does not initially participate in the lawsuit but does so at a later date. In this case, the range of whistleblower benefits is in between 15 and 30 percent of the recovery.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, a defendant might be responsible for as much as 3 times the damage to the state, in addition to fines of between $5,500 and $11,000 for each of their infractions.

Statute of Limitations in Burnsville, 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 Burnsville, Minnesota healthcare worker and have knowledge of deceitful 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 lawyer. At Khurana Law Firm, P.C., we can help you understand your rights and choices. Contact us for a completely 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 Burnsville, 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 Burnsville, 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 ATTORNEY; We are proud to represent healthcare workers in Burnsville, Minnesota

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Burnsville, Minnesota, you require the advice of an experienced whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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