Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the system, there are those who do not. When scams are perpetrated, everyone loses. Medicare and Medicaid whistleblower lawyers can help healthcare workers to submit suits on behalf of the government to report this type of fraud.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Lakeville, Minnesota

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the industry. We know that coming forward is hard and numerous 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 investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Lakeville, Minnesota

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

 

The Minnesota False Claims Act enables private whistleblowers to bring a qui tam suit against a a person or company 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 recuperate monetary rewards for their details 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 recovery in a reward. If the state selects not to participate in the suit and the whistleblower pursues it individually, the whistleblower might get 25 to 30 percent of that recovery in financial rewards. There are circumstances when the state does not initially participate in the lawsuit but does so subsequently. In this case, the range of whistleblower rewards is in between 15 and 30 percent of the recovery.

 

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, a defendant may be liable for as much as three times the damage to the state, in addition to fines of in between $5,500 and $11,000 for each of their violations.

Statute of Limitations in Lakeville, Minnesota

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

Dealing with an Experienced Whistleblower Attorney

If you are a Lakeville, Minnesota healthcare worker and have knowledge of fraudulent activity that may have cost the state of Minnesota or a political entity of the state money, it is critical to get legal advice from a knowledgeable whistleblower attorney. At Khurana Law Firm, P.C., we can explain your rights and choices. 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 Lakeville, 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 Lakeville, 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 ATTORNEY; We are proud to represent healthcare workers in Lakeville, Minnesota

If you’ve become aware of deceptive activity that may concern Medicare or Medicaid in Lakeville, Minnesota, you need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is totally examined and submitted accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not attempt 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 assist in your battle against Medicaid and Medicare fraud. We will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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