Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars every year. While most medical companies and drug companies are honest and work within the legal channels, some do not. When fraud happens, everyone loses. Medicaid and Medicare whistleblower attorneys can help healthcare workers to file lawsuits on behalf of the federal or state government to help report this type of fraud.

The federal and state governments place a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it relies on every day people 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 Duluth, Minnesota

At Khurana Law Firm, P.C., as experienced 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 held in the strictest confidence .

With our extensive 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 deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Duluth, 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, fraud costs the state millions of dollars. However, due to limited resources, the state depends on individuals with information of scams to come forward and file a whistleblower claim.

 

The Minnesota False Claims Act allows private individual whistleblowers to bring a qui tam suit against a a person 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 recover financial rewards for their details and their action against the fraud perpetrator. If the state participates in the suit with the whistleblower, that whistleblower might receive 15 to 25 percent of the state’s recovery in a monetary reward. If the state picks not to participate in the suit and the whistleblower pursues it separately, the whistleblower may receive 25 to 30 percent of that recovery in reward. There are circumstances when the state does not at first enter into the lawsuit however does so at a later date. In this case, the sum of whistleblower rewards is between 15 and 30 percent of the recovered funds.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, a defendant may be accountable for up to 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 Duluth, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Duluth, Minnesota healthcare worker and have knowledge of deceptive activity that may have cost the state of Minnesota or a subdivision of the state money, it is vital to get legal advice from a skilled whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand 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 Duluth, 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 Duluth, 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 Duluth, Minnesota

When you become aware of potential fraud that may concern Medicare or Medicaid in Duluth, Minnesota, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and immediately. By dealing with a knowledgeable attorney you are increasing the chance that the government will step in, therefore increasing the chance for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t try 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 attorneys to help in your fight against Medicare and Medicaid fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam claim to help report the fraud and enable you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can help.

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