Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Eden Prairie, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars annually. While most medical providers and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to help report this sort of fraud.

The federal and state government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on private citizens in Minnesota to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Eden Prairie, Minnesota

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. understand that coming forward is challenging and numerous 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, and work tirelessly with both you and the federal or state government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Eden Prairie, Minnesota

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

 

The Minnesota False Claims Act enables private individual whistleblowers to bring a qui tam suit against a a person or company 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 rewards for their information and their action against the scam perpetrator. If the state gets in into the suit with the whistleblower, that whistleblower may get 15 to 25 percent of the state’s recovered funds in a reward. If the state chooses not to participate in the suit and the whistleblower pursues it separately, the whistleblower may get 25 to 30 percent of that recovery in reward. There are instances when the state does not initially get in into the suit however does so later. 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 likewise protected from retaliation by a company.

Liability of the Defendant in Minnesota

In the state of Minnesota, an accused 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 violations.

Statute of Limitations in Eden Prairie, Minnesota

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

Dealing with an Experienced Whistleblower Attorney

If you are a Eden Prairie, 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 crucial 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 completely 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 Eden Prairie, 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 Eden Prairie, 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 Eden Prairie, Minnesota

If you’ve become aware of deceitful activity that may involve Medicare or Medicaid in Eden Prairie, Minnesota, you need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and without delay. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not attempt 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 legal representatives to assist in your battle against Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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