Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Coon Rapids, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars each year. Although most medical service providers and drug companies are ethical and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file suits on behalf of the federal or state government to report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Coon Rapids, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the industry. We know that stepping forward is hard and lots of things may 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 examine your claim, diligently prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Coon Rapids, Minnesota

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

 

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

 

The Act enables the whistleblower to recuperate monetary rewards 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 reward. If the state picks not to enter into the suit and the whistleblower pursues it independently, the whistleblower may get 25 to 30 percent of that recovery in financial rewards. There are circumstances when the state does not at first get in into the suit however does so subsequently. In this case, the sum of whistleblower rewards is in between 15 and 30 percent of the recovered funds.

 

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 accountable 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 infractions.

Statute of Limitations in Coon Rapids, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Coon Rapids, Minnesota healthcare worker and know of fraudulent activity that has cost the state of Minnesota or a subdivision of the state money, it is important to get legal advice from a skilled whistleblower attorney. At Khurana Law Firm, P.C., we can explain your rights and alternatives. 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 Coon Rapids, 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 Coon Rapids, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Coon Rapids, Minnesota

If you’ve become aware of potential fraud that may involve Medicare or Medicaid in Coon Rapids, Minnesota, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid fraud. After you get in touch our lawyers 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 help report the scams and enable you to collect a financial benefit. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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