Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars annually. While most medical service providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the government to report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Edina, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the industry. understand that coming 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 tirelessly with both you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Edina, Minnesota

In Minnesota, the Minnesota False Claims Act makes business entities or private citizens who defraud the Minnesota Medicaid program responsible for their actions. Each year, fraud costs the state millions of dollars. However, because of limited resources, the state counts on individuals with information about scams to come forward and submit 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 funds to the state or any political entity of that state, such as a county, city, or school district.

 

The Act enables the whistleblower to recover financial rewards for their information and their action against the fraud perpetrator. If the state enters into the suit with the whistleblower, that whistleblower may get 15 to 25 percent of the state’s recovered funds in a monetary reward. If the state elects not to participate in the suit and the whistleblower pursues it individually, the whistleblower may receive 25 to 30 percent of that recovery in reward. There are instances when the state does not initially participate in the lawsuit however does so subsequently. In this case, the sum of whistleblower benefits is in between 15 and 30 percent of the recovered funds.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, an offender may be accountable for approximately three times the harm to the state, in addition to fines of in between $5,500 and $11,000 for each of their violations.

Statute of Limitations in Edina, Minnesota

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

Dealing with an Experienced Whistleblower Attorney

If you are a Edina, Minnesota healthcare worker and know of deceptive activity that has cost the state of Minnesota or a political entity of the state money, it is crucial to get legal advice 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 Edina, 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 Edina, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Edina, Minnesota

If you’ve become aware of fraud as it concerns Medicare or Medicaid in Edina, Minnesota, you require the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is completely examined and submitted accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your battle against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam claim 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. Get in touch with us today to to schedule a confidential consultation.

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