Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Eagan, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the system, some don’t. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to submit suits on behalf of the government to report this sort of fraud.

The federal and state government place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it relies on regular folks in Minnesota to come forward to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Eagan, 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 scams in the market. understand that stepping forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial 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 help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Eagan, Minnesota

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

 

The Minnesota False Claims Act permits private individual whistleblowers to bring a qui tam suit against an individual or company 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 allows the whistleblower to recuperate monetary rewards for their details and their action against the fraud perpetrator. If the state gets in into the suit with the whistleblower, that whistleblower might get 15 to 25 percent of the state’s recovery in a reward. If the state chooses 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 circumstances when the state does not initially get in into the suit but does so at a later date. In this case, the sum of whistleblower rewards is between 15 and 30 percent of the recovery.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, an offender may be responsible for up to three times the damage to the state, in addition to fines of in between $5,500 and $11,000 for each of their infractions.

Statute of Limitations in Eagan, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Eagan, Minnesota healthcare worker and have knowledge of fraudulent activity that has cost the state of Minnesota or a subdivision of the state money, it is vital to get legal guidance from a skilled whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand your rights and options. 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 Eagan, 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 Eagan, 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 Eagan, Minnesota

When you become aware of fraudulent activity involving Medicare or Medicaid in Eagan, Minnesota, you need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is fully examined and filed accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will intervene, thus increasing your chances 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 experience as national qui tam legal representatives to assist in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam claim to help report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can help.

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